title: Ultrasound-guided spinal anesthesia in an obese patient.
abstract: We describe the case of 62-year-old man with a body mass index of 53, hypertension, diabetes mellitus and obstructive sleep apnea that was proposed for transurethral resection of prostate under spinal anesthesia. The surface landmark-guided approach was difficult and was abandoned after many unsuccessful attempts. Spinal anesthesia was achieved in one attempt with ultrasound guidance using the midline approach at the identified level. The trajectory was determined from the transducer angle.
authors.forename: Mohamed Anis
authors.initials: MA
authors.lastname: Lebbi
authors.forename: Walid
authors.initials: W
authors.lastname: Trabelsi
authors.forename: Radhouane
authors.initials: R
authors.lastname: Bousselmi
authors.forename: Abdelhakim
authors.initials: A
authors.lastname: Messaoudi
authors.forename: Iheb
authors.initials: I
authors.lastname: Labbène
authors.forename: Mustapha
authors.initials: M
authors.lastname: Ferjani
mesh_terms: D000775:Anesthesia, Spinal / Q000379:methods*; D015992:Body Mass Index; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000601:surgery*; D011469:Prostatic Diseases / Q000150:complications / Q000601:surgery*; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000601:surgery; D020728:Transurethral Resection of Prostate / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*