title: Dexmedetomidine for awake intubation and an opioid-free general anesthesia in a superobese patient with suspected difficult intubation.
abstract: Super-obese patients (body mass index [BMI] >50 kg/m(2)) are at a particularly high risk of anesthesia-related complications during postoperative period, eg, critical respiratory events including respiratory arrest, and over-sedation leading to problems with maintaining airway open, hypoxia and hypercapnia. In this paper authors present a case of a 39-year-old super-obese (BMI 62.3 kg/m(2)) female patient who was admitted for surgical treatment of obesity. Preanesthesia evaluation revealed hypertension and type 2 diabetes mellitus (DM) as comorbidities as well as potential for a difficult intubation- neck circumference of 46 cm, reduced neck mobility and DM type 2. Patient was intubated using "awake intubation" method using topical anesthesia and dexmedetomidine infusion. General anesthesia was maintained with sevoflurane and dexmedetomidine infusion instead of opioid administration in "opioid-free anesthesia method".
authors.affiliation: Department of Anesthesiology and Intensive Therapy, Barlicki University Hospital, Medical University of Lodz, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Gaszynski
authors.affiliation: Department of Hygiene and Health Promotion, Barlicki University Hospital, Medical University of Lodz, Poland.
authors.forename: Ewelina
authors.initials: E
authors.lastname: Gaszynska
authors.affiliation: Department of Gastroenterology, Oncology, and General Surgery, Barlicki University Hospital, Medical University of Lodz, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Szewczyk
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D020927:Dexmedetomidine / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D009765:Obesity / Q000601:surgery*; D014851:Wakefulness
chemical_list: D020927:Dexmedetomidine
keywords: dexmedetomidine; morbid obesity; non-opioid anesthesia