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Journal : Riwayat: Educational Journal of History and Humanities

Anesthesia Management For A Patient With Morbid Obesity Undergoing Laparoscopic Cystectomy And Hysteroscopic Tubal Patency Procedures: A Case Report Lusyana*, Lya; Parami, Pontisomaya; EM, Tjahya Aryasa
Riwayat: Educational Journal of History and Humanities Vol 6, No 4 (2023): Educational, Historical Studies and Humanities
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jr.v6i4.35663

Abstract

The laparoscopic surgical procedure has been proven to be highly useful for surgeries in narrow body cavities, such as pelvic surgeries. Performing laparoscopy on morbidly obese patients in the supine, lithotomy, and Trendelenburg positions during surgery presents a challenge in obstetric anesthesia. The patient is a 31-year-old female with a left dermoid ovarian cyst. During the perioperative period, the patient presented with morbid obesity (BMI of 45 kg/m2), and an intermediate risk of obstructive sleep apnea. Perioperatively, arterial blood gas analysis (ABGA) was performed to determine whether there were any ventilation issues typically associated with obesity (i.e.,Pickwickian syndrome). The ABGA results were within normal limits, with a pCO2 of 38 mmHg. General anesthesia was administered, and the patient was induced with 150 mcg of fentanyl, 150 mg of propofol, and 40 mg of atracurium. The surgery was completed without significant hemodynamic changes. After the surgery, the patient was transferred to the Intensive Care Unit for observation in case of any anesthesia-related complications. In conclusion, pre-anesthesia preparation and clear and effective intraoperative communication are crucial in managing a patient with morbid obesity undergoing laparoscopic cystectomy, hysteroscopy, and tubal patency procedures.
Co-Authors Adi, Made Septyana Parama Adinda Putra Pradhana Anak Agung Angga Pringga Dana Andi Irawan Andi Kusuma Wijaya, Andi Christopher Ryalino Cynthia Dewi Sinardja Darma Putri, Anak Agung Pranikencana Dharmawan, IGB Adi EM, Tjahya Aryasa Emkel Perangin Angin, Emkel Fikrawan, Putu Filla Jaya Gede Semarawima, Gede Gede Wirya Kusuma Duarsa Hartanto, Wijaya Hartawan , I.G.A.G. Utara Hengky Hengky, Hengky I Gede Budiarta I Gusti Agung Gede Utara Hartawan I Gusti Agung Made Wibisana Kurniajaya, I Gusti Agung Made I Gusti Ngurah Mahaalit Aribawa I Gusti Putu Sukrana Sidemen I Ketut Sinardja I Made Darma Junaedi, I Made I Made Gede Widnyana I Putu Agus Surya Panji I Wayan Aryabiantara, I Wayan I Wayan Suranadi Ida Bagus Krisna Jaya Sutawan IGNA Putra Arimbawa, IGNA Putra Jhoni Pardomuan Pasaribu Junaedi, Made Darma Kadek Agus Heryana Putra Kadek Agus Heryana Putra, Kadek Agus Ketut Semara Jaya, Ketut Semara Kresna Sucandra, I Made Agus Labobar, Otniel Adrians Lusyana*, Lya Made Agus Kresna Sucandra, Made Agus Kresna Made Widnyana Made Wiryana Mahaalit, I Gusti Ngurah Marilaeta Cindryani Lolobali, Marilaeta Cindryani Nandaswari, Ni Made Nilam Narakusuma, I Putu Fajar Ni Putu Novita Pradnyani, Ni Putu Pamudji, Ivan Sebastian Pande Nyoman Kurniasari, Pande Pramana, Putu Bagus Gin Gin Prastiti, Ni Ketut Devi Widhi Putu Kurniyanta Putu Pramana Suarjaya Sidemen, I.G.P.Sukrana Syamsuddin, Johanis Bosco Troy Tirta, Ian Tjahya Aryasa Tjahya Aryasa Tjokorda Gde Agung Senapathi Wardani, Dinar Kusuma