[Anesthetic management of a morbidly obese patient with intestinal obstruction].
We managed a morbidly obese patient [body weight 150 kg, body height 157 cm (body mass index, 61 kg.m-2)] with intestinal obstruction due to incarcerated postoperative ventral hernia. The trachea was intubated while applying cricoid pressure. The SpO2 decreased rapidly down to 30% during intubation, but increased to 100% after ventilation with oxygen. Potential problems in the anesthetic management of morbidly obese patients for emergency surgery are discussed.
Sugano
H
H
Department of Anesthesia, Chihaya Hospital, Fukuoka.
Mori
M
M
Miyoshi
A
A
D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D004630:Emergencies; D005260:Female; D006555:Hernia, Ventral / Q000150:complications; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007442:Intubation, Intratracheal / Q000379:methods; D009767:Obesity, Morbid