RESUMO
Obesity is associated with increased morbidity and mortality. Sedation of the procedure for these patients can pose significant challenges. Conscious sedation is the cause of many potentially serious unplanned events during endoscopy. A case report of sedation with propanidid in a patient with super obesity for endoscopic procedure is presented. Propanidid has demonstrated its safety and efficacy in short procedures in obese people.
La obesidad se asocia con mayor morbimortalidad. La sedación en procedimientos para estos pacientes puede implicar desafíos importantes. La sedación consciente es la causa de muchos eventos no planificados potencialmente graves durante la endoscopia. Se presenta el reporte de un caso de sedación con propanidido en un paciente con superobesidad para un procedimiento endoscópico. El propanidido ha demostrado su seguridad y eficacia en procedimientos cortos en personas obesas.
Assuntos
Anestesia , Endoscopia Gastrointestinal , Sedação Consciente , Humanos , Obesidade/complicaçõesRESUMO
BACKGROUND: Laparoscopic surgery is well accepted as a safe technique when performed on a third trimester pregnant woman. OBJECTIVE: The aim is to describe the anaesthetic management of a group of patients undergoing this type of surgery. MATERIAL AND METHODS: An analysis was made of records of 6 patients in their third trimester of pregnancy and who underwent urgent laparoscopic surgery from 2011 to 2013. CLINICAL CASES: The study included 6 patients, with a diagnosis of acute cholecystitis in 4 of them. The other 2 patients had acute appendicitis, both of who presented threatened preterm labour. CONCLUSION: The most frequent indications for laparoscopic surgery during the last trimester of birth were found to be acute cholecystitis and acute appendicitis. Acute appendicitis is related to an elevated risk of presenting threatened preterm labour.