Anesthetic management of a morbidly obese patient undergoing laparoscopic gastric bypass surgery
Horikawa, Y.; Saitoh, K.; Anbe, A.; Hirabayashi, Y.; Seo, N.
Masui. Japanese Journal of Anesthesiology 50(8): 895-898
2001
ISSN/ISBN: 0021-4892 PMID: 11554025 Document Number: 532138
We describe a successful anesthetic management of a morbidly obese patient, weighing 170 kg, height of 170 cm and body mass index of 58.8 kgcntdotm-2, who received gastric bypass surgery performed using laparoscopic assist. After arriving in the operating room, an epidural catheter was inserted into the epidural space at the T 7-8 intervertebral space. The trachea was intubated nasaly under bronchofiberscopic assist, after which anesthesia was induced with propofol and maintained with nitrous oxide and oxygen (FIO2=0.5), iv propofol, fentanyl, and epidural anesthesia. Propofol infusion rate was determined using the corrected body weight drawn by Servin et al. Anesthetic management and recovering from anesthesia were uneventful. For propofol anesthesia, infusion rates determined using the corrected body weigh, was preferable for morbidly obese patients.