병적 비만 산모의 제왕절개 수술 마취경험

The number of obese women increases recently. Obesity itself has many physiologic problems such as decreased functional residual capacity and increased oxygen demand which result in hypoxemia easily, and increase of gastric acidity and volume which can results in aspiration pneumonia. Pregnancy induces similar physiologic changes, also. Rapid sequence induction and tracheal intubation are very important especially in morbidly obese parturient for general anesthesia. It is important to predict the possibility of difficult intubation during preoperative period. We experienced a morbidly obese parturient (height : 173cm, weight : 155kg, BMI : 51.8) who received cesarean section under general anesthesia without difficult intubation and any complications. Although obesity is not confirmed as a risk factor predicting difficult intubation, we should prepare against failed intubation in advance in obese patient. KCI Citation Count: 0