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초고도 병적 비만인 환자의 비만 수술을 위한 마취경험 1례 - 증례보고 -

Anesthetic Management of Super Morbidly Obese Patient for Bariatric Surgery - A Case Report-

경희의학 2019년 34권 1호 p.41 ~ 45
우길 ( Woo Gil ) - 경희대학교 의과대학 마취통증의학과

정준영 ( Chung Jun-Young ) - 경희대학교 의과대학 마취통증의학과

Abstract


Obesity is a public health problem that has become epidemic worldwide. Substantial literature has emerged to show that overweight and obesity are major causes of co-morbidities, including diabetes mellitus, cardiovascular diseases, various cancers and other health problems, which can lead to further morbidity and mortality. One of the treatments of morbid obesity is bariatric surgery and it needs general anesthesia. Obesity is a challenging problem to anesthesiologists because it leads to severe changes in metabolism and physiologic function, especially cardiovascular and respiratory system. We experienced anesthetic management of super morbidly obese patient. Roux-en-Y bypass surgery for weight loss was planned for a 28 year old, female patient (165 kg and 166cm, BMI: 60 kg/㎡). We made preparations in case of difficult airway management and used short acting drugs during maintenance of anesthesia. Finally, we can make successful airway management and maintain hemodynamic stability and make a fast and smooth recovery without any problem.

키워드

Super morbidly obesity; Bariatric surgery; Inhalation anesthesia; Airway management
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