title: Infiltration block for caesarean section in a morbidly obese parturient.
abstract: We report a case of a morbidly obese parturient (150 kg and 150 cm) for emergency lower segment caesarean section for dead foetus. Her pregnancy had been unsupervised. She presented with severe pre-eclampsia, generalized oedema and acute respiratory failure. Caesarean section was performed under infiltration block using lidocaine 0.5-1.0%. Her status improved postoperatively with aggressive physiotherapy, nursing in a semirecumbent position and oxygen supplementation.
authors.affiliation: Department of Anaesthesia, Dayanand Medical College & Hospital, Ludhiana, India.
authors.forename: P L
authors.initials: PL
authors.lastname: Gautam
authors.forename: S
authors.initials: S
authors.lastname: Kathuria
authors.forename: T K
authors.initials: TK
authors.lastname: Kaul
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002585:Cesarean Section / Q000451:nursing / Q000534:rehabilitation; D004487:Edema / Q000150:complications; D005260:Female; D005313:Fetal Death; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D009407:Nerve Block; D009767:Obesity, Morbid / Q000150:complications*; D010102:Oxygen Inhalation Therapy; D026741:Physical Therapy Modalities; D011225:Pre-Eclampsia / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications; D012131:Respiratory Insufficiency / Q000150:complications
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine