Doctor's Home !
Make an account to get full access ! IT's FREE NOW !
Search
 
 

Display results as :
 


Rechercher Advanced Search

Keywords

Latest topics
» Multilobar R sided pneumonia
Tue Aug 07, 2012 8:19 am by Admin

» Gas under the diaphragm after abdominal surgery
Tue Aug 07, 2012 8:16 am by Admin

» ARDS CXR !!
Tue Aug 07, 2012 8:14 am by Admin

» Cardiac Tamponade-Big heart and clear lungs
Tue Aug 07, 2012 8:11 am by Admin

» R sided Pneumothorax
Tue Aug 07, 2012 8:07 am by Admin

» Tension L Pneumothorax and bulla on CXR
Tue Aug 07, 2012 8:03 am by Admin

» Lingular pneumonia
Tue Aug 07, 2012 8:02 am by Admin

» Wedge-shaped lung infarct after PE
Tue Aug 07, 2012 8:00 am by Admin

» Bronchoalveolar Carcinoma
Tue Aug 07, 2012 7:59 am by Admin


A 25-yr-old woman with morbid obesity (BMI: 54 kg/m2)

View previous topic View next topic Go down

What is the diagnosis?

0% 0% 
[ 0 ]
0% 0% 
[ 0 ]
0% 0% 
[ 0 ]
0% 0% 
[ 0 ]
0% 0% 
[ 0 ]
0% 0% 
[ 0 ]
 
Total Votes : 0
20120804

Post 

A 25-yr-old woman with morbid obesity (BMI: 54 kg/m2)




A 25-yr-old woman with morbid obesity (BMI: 54 kg/m2) and noninsulin-dependent diabetes was scheduled for cochlear implant surgery. She had two previous surgeries without incident during childhood. She denied any history of atopy or drug allergy. Chest auscultation was normal before anesthesia. She was premedicated with hydroxyzine (100 mg) the day before and 1 h before anesthesia, which was induced with sufentanil (20 µg IV) and propofol (350 mg IV). Tracheal intubation (Cormack and Lehane grade I) was facilitated with succinylcholine (130 mg IV). After tracheal intubation was performed, chest auscultation revealed a complete absence of bilateral breath sounds. Initial concentrations of end-tidal carbon dioxide (ETco2) were low. The patient was immediately extubated and mask ventilation attempted. Mask ventilation was difficult to perform because of dramatically decreased lung compliance, whereas ETco2 demonstrated a marked prolonged expiratory upstroke of the capnogram. Rapid arterial oxygen desaturation (oxygen saturation measured by pulse oximetry [Spo2], 55%) followed by arterial hypotension (from 130/75 to 50/20 mmHg) associated with a moderate tachycardia (100 beats/min) occurred in less than 5 min.

Admin
Admin

Posts : 191
Join date : 2012-08-03

http://mbbs.forumne.net

Back to top Go down

- Similar topics
Share this post on: Excite BookmarksDiggRedditDel.icio.usGoogleLiveSlashdotNetscapeTechnoratiStumbleUponNewsvineFurlYahooSmarking

 
Permissions in this forum:
You cannot reply to topics in this forum