Complex approach to oncological and oncosurgical therapy in morbidly obese patient: case report

Czech version

Authors: J. Málek ¹; M. Kubecová ²; A. Kurzová ¹; J. Pachl ¹; B. Svoboda ³; M. Tvrdek ⁴
Authors‘ workplace: Klinika anesteziologie a resuscitace 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha ¹; Klinika radioterapie a onkologie 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha ²; Klinika gynekologie a porodnictví 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha ³; Klinika plastické chirurgie 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha ⁴
Published in: Anest. intenziv. Med., 16, 2005, č. 4, s. 185-190
Category: Anaesthesiology - Original Paper

Overview

A case of morbidly obese 65-year old patient (body mass index BMI = 56) with gynaecological malignant tumour is described. After repeated uneventful subarachnoid blocks she suffered a fracture of the femur and pelvis as a result of falling out of bed. Following successful orthopaedic treatment the malignant gynaecological tumour recurred. The combined gynaecological and plastic surgery under general anaesthesia was followed by failure of vital functions and the patient was admitted to the critical care unit. Finally she recovered completely. The problems of anaesthesia in morbidly obese patients are discussed.

Key words:
morbid obesity – anaesthesia – critical care

Labels

Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

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ANZICS: Statement on withholding and withdrawing treatment

Article was published in

Anaesthesiology and Intensive Care Medicine

2005 Issue 4