Anesthetic Management Of A Morbidly Obese Patient With Supracondylar Femur Fracture

Ayşe Mızrak; Mustafa Işık; Senem Koruk; Rauf Gül; Süleyman Ganidağlı; Halit Demir; Ünsal Öner

doi:10.58600/eurjther.2009-15-1-1282-arch

Authors

Ayşe Mızrak Gaziantep University School Of Medicine Department Of Anesthesiology and Reanimation
Mustafa Işık 2Gaziantep University School Of Medicine Department Of Orthopedics and Traumatolog
Senem Koruk Gaziantep University School Of Medicine Department Of Anesthesiology and Reanimation
Rauf Gül Gaziantep University School Of Medicine Department Of Anesthesiology and Reanimation
Süleyman Ganidağlı Gaziantep University School Of Medicine Department Of Anesthesiology and Reanimation
Halit Demir Gaziantep University School Of Medicine Department Of Anesthesiology and Reanimation
Ünsal Öner 1Gaziantep University School Of Medicine Department Of Anesthesiology and Reanimation

DOI:

https://doi.org/10.58600/eurjther.2009-15-1-1282-arch

Keywords:

Supracondylar femur fracture, Morbid obesity, Spinal anesthesia, Body mass index

Abstract

To our literature search, supracondylar femur fracture is not a rare circumstance with morbid obesity. We report a case of closed reduction and internal fixation for a supracondylar femur fracture of a 46-year-old, 168 kg, 172 cm tall [body mass index (BMI) > 55 kg/m²] morbid obese man. The patient was premedicated with diazepam 10 mg orally and was brought to the operating room on a transport stretcher and taken onto conventional operating tables hardly that had been placed side by side. Since the morbidly obese patient has such risk factors as hypertension and Mallampati Score IV and type II diabetes and obstructive sleep apnea (OSA), standard dose spinal anesthesia, including hyperbaric bupivacaine and fentanyl mixture, was decided to be given. As the consequences of proper attention to special status such as easy positioning, suitable anesthesia technique, avoiding complications about airway and haemodynamics, he safely underwent to the closed reduction with singe dose spinal anesthesia.

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