Anesthetic management of a morbidly obese patient with endometrial cancer during robot-assisted laparoscopic surgery

Anesthetic management of a morbidly obese patient with endometrial cancer during robot-assisted laparoscopic surgery

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Abstract Background The number of robot-assisted surgeries being performed has increased in recent years, even in patients with risk factors, such as obesity, owing to advancements in medical technologies.We here report the anesthetic management of a morbidly obese woman who royal nomadic 5413 rug underwent robot-assisted surgery.Case presentation A 44-year-old woman (height, 165 cm; weight, 147 kg; body mass index, 54 kg/m2) was scheduled to undergo robot-assisted laparoscopic hysterectomy for endometrial cancer.Preoperative weight loss and rehearsal of positioning during induction of anesthesia and surgical sten jacket m procedures greatly contributed to the surgical success.

Monitoring of oxygen reserve index in combination with SpO2 was useful for appropriate airway and respiratory management.During anesthesia induction, the ramp position using a special commercially available cushion facilitated manual mask ventilation and tracheal intubation.Lung-protective ventilation using a limited tidal volume with moderate PEEP was applied during the robot-assisted surgical procedure.Conclusion We successfully managed anesthesia without any complications.