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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 3, April 2014 pp 467-469

Case Report

Anaesthetic Implications in Obese Patients:  A Case Series


Pramod Bhale1, Saurabh More2, Abhijeet Kabade3, Medha Kulkarni4

1Professor, 2Senior Resident, 3Resident, Department of Anaesthesia} {4Registrar}

MGM Medical College, Aurangabad, Maharashtra, INDIA.

Academic Editor : Dr. Aher K.R.



Across the globe, obesity is a major cause for post-op morbidity and mortality. More people are obese than malnourished, and its second only to smoking as a preventable cause of death. Obesity is defined as BMI>30kg/met-square. Obesity is a complex and multifactorial diseasebut, in simple terms, occurs when net energy intake exceeds net energy expenditure over a prolonged period of time. However, it is not always easy to identify a single explanation as to why this occurs in some individuals and not others. The various pathophysiological changes in obesity should be taken into consideration for planning anaesthesia. Various physiological changes occurring in all the body systems contribute to problems faced by an anaesthetist. Obesity due to its effect on the body, changes the approach of the anaesthetist while planning anaesthesia to a particular surgery. A thorough understanding of the drug doses, physiological changes and special techniques makes the anaesthesia a comforatable experience for the patient and the anaesthetist. Descriptions of two obese patients anaesthetic management is detailed, focusing on the changes made to the routine practice. One patient is done under regional anaesthesia while other receives general anaesthesia