title: General anesthesia for the heaviest man in the world.
abstract: The prevalence of obesity has increased greatly over the last 20 years, resulting in an increase in the number of bariatric and nonbariatric surgeries in this population. We present the case of a 20-year-old male, weighing 610 kg (1345 lb), and believed to be the heaviest living man in the world. After 4 months of rigorous in-hospital weight reduction, now weighing 510 kg (1125 lb), he underwent a laparoscopic gastric sleeve procedure under general anesthesia. This report describes the management of his anesthetic and exemplifies the challenges associated with this patient population.
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia ; Department of Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: Abdullah S
authors.initials: AS
authors.lastname: Terkawi
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Rafiq
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Reaad
authors.initials: R
authors.lastname: Algadaan
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Insha
authors.initials: I
authors.lastname: Ur Rehman
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Khaled S
authors.initials: KS
authors.lastname: Doais
authors.affiliation: Department of Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.
authors.forename: Marcel E
authors.initials: ME
authors.lastname: Durieux
authors.affiliation: Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Mazen
authors.initials: M
authors.lastname: AlSohaibani
keywords: Anesthesia; Guinness world records; heaviest man; obesity