The management of a morbidly obese parturient with a body mass index of 88 is reported. She developed asthma during the pregnancy. Lumbar epidural anaesthesia was successfully used for an elective caesarean section and tubal ligation.
DewanD.M.The obese parturient. In: JamesF.M., WheelerA.S., DewanD.M., Eds. Obstetric Anesthesia: The Complicated Patient. 2nd ed. Philadelphia, FA Davis Company, 1988; 467–480.
2.
RugeS., AndersenT.Obstetric risks in obesity. An analysis of the literature. Obstet Gynecol Surv1985; 40: 57–60.
3.
PerlowJ.H., MorganM.A., MontgomeryD., TowersC.V., PortoM.Perinatal outcome in pregnancy complicated by massive obesity. Am J Obstet Gynecol1992; 167(4 Part 1): 958–962.
4.
HoodD.D., DewanD.M.Anesthesia and obstetric outcome in morbidly obese parturients. Anesthesiology1993; 79: 1210–1218.
5.
ObertB., PoulsenT.D.Obesity: an anaesthetic challenge. Acta Anesthesiol Scand1996; 40: 191–200.
6.
RobertsonI.K., EltringhamR.J.Anaesthetic management of the morbidly obese. Br J Hosp Med1985; 34: 224–228.
7.
MaitraA.M., PalmerS.K., BachhuberS.R., AbramS.E.Continuous epidural analgesia for Caesarean section in a patient with morbid obesity. Anesth Analg1979; 58: 348–349.
FoxG.S., WhalleyD.G., BevanD.R.Anaesthesia for the morbidly obese. Br J Anaesth1981; 53: 811–816.
10.
FlamE., BerryS., CoyleA., DardikH., RaabL.Blood-flow augmentation of intermittent pneumatic compression systems used for the prevention of deep vein thrombosis prior to surgery. Am J Surg1996; 171: 312–315.
11.
HodgkinsonR., HusainF.J.Obesity, gravity, and spread of epidural anesthesia. Anesth Analg1981, 60: 421–424.
