FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4240014461> ?p ?o ?g. }

• W4240014461 abstract "Morbidly obese obstetric patients undergoing anesthesia present many unique challenges. Previous caesarean sections (CSs) further complicate their management. We present the successful anesthetic management of a super morbidly obese obstetric patient with body mass index (BMI) of 109 kg/m2 who underwent her fourth CS. As per our review, this patient has the highest recorded BMI in the obstetric anesthesia literature. A 27-year-old female, G4P3003, presented for fourth repeat CS at 38 weeks’ gestation. She had obstructive sleep apnea, hypertension, atrial fibrillation, and type 2 diabetes. Her first CS was emergent under general anesthesia (GA), and the other two were performed under neuraxial anesthesia, with the most recent one complicated by intraoperative cardiac arrest requiring cardiopulmonary resuscitation. Preoperative preparation involved multidisciplinary preparation, planning, and risk stratification. Although neuraxial anesthesia is preferred over GA for CS, she refused neuraxial anesthesia due to her prior traumatic experience and the potential that it caused her prior cardiac arrest. In addition, her inability to position for a block or lay flat, poor anatomical landmarks, unknown length of surgery, plan for periumbilical incision, uncertain placental status, and risk of massive hemorrhage convinced us to consider GA. Surprisingly, her airway examination was reassuring. Two 18G peripheral intravenous lines and an arterial line were obtained prior to induction. With optimum patient positioning and preoxygenation, modified rapid sequence induction with mask ventilation and endotracheal intubation with direct laryngoscopy were performed. A healthy baby was delivered without significant intraoperative complications. Intraoperative lung-protective strategy with recruitment maneuvers, multimodal analgesia, and elective postoperative continuous positive airway pressure aided in successful extubation. Postoperatively, pulmonary toilet, early mobilization, physical therapy, and venous thromboembolism prophylaxis were employed. Her postoperative course was complicated by severe preeclampsia and pulmonary embolism, which were managed successfully in the intensive care unit. She was discharged initially to outpatient rehabilitation followed by home. This case highlights the complexities and significance of an individualized approach in managing super morbidly obese obstetric patients." @default.
• W4240014461 created "2022-05-12" @default.
• W4240014461 creator A5011225496 @default.
• W4240014461 creator A5032196965 @default.
• W4240014461 creator A5049538594 @default.
• W4240014461 creator A5086343164 @default.
• W4240014461 date "2020-11-30" @default.
• W4240014461 modified "2023-10-17" @default.
• W4240014461 title "Anesthetic Management of a Super Morbidly Obese Obstetric Patient With a Body Mass Index of 109 kg/m2 Presenting for Her Fourth Caesarean Delivery" @default.
• W4240014461 cites W1976556969 @default.
• W4240014461 cites W1984621959 @default.
• W4240014461 cites W2005735653 @default.
• W4240014461 cites W2070847411 @default.
• W4240014461 cites W207257505 @default.
• W4240014461 cites W2082282482 @default.
• W4240014461 cites W2116332948 @default.
• W4240014461 cites W2132340127 @default.
• W4240014461 cites W2145370028 @default.
• W4240014461 cites W2201195476 @default.
• W4240014461 cites W2516260210 @default.
• W4240014461 cites W2743185700 @default.
• W4240014461 cites W2802282532 @default.
• W4240014461 cites W2895658199 @default.
• W4240014461 cites W2965900509 @default.
• W4240014461 cites W2988057781 @default.
• W4240014461 cites W3012796284 @default.
• W4240014461 cites W3149819151 @default.
• W4240014461 doi "https://doi.org/10.7759/cureus.11803" @default.
• W4240014461 hasPublicationYear "2020" @default.
• W4240014461 type Work @default.
• W4240014461 citedByCount "1" @default.
• W4240014461 countsByYear W42400144612021 @default.
• W4240014461 crossrefType "journal-article" @default.
• W4240014461 hasAuthorship W4240014461A5011225496 @default.
• W4240014461 hasAuthorship W4240014461A5032196965 @default.
• W4240014461 hasAuthorship W4240014461A5049538594 @default.
• W4240014461 hasAuthorship W4240014461A5086343164 @default.
• W4240014461 hasBestOaLocation W42400144611 @default.
• W4240014461 hasConcept C105922876 @default.
• W4240014461 hasConcept C141071460 @default.
• W4240014461 hasConcept C142724271 @default.
• W4240014461 hasConcept C2778716859 @default.
• W4240014461 hasConcept C2780221984 @default.
• W4240014461 hasConcept C2780978852 @default.
• W4240014461 hasConcept C42219234 @default.
• W4240014461 hasConcept C71924100 @default.
• W4240014461 hasConceptScore W4240014461C105922876 @default.
• W4240014461 hasConceptScore W4240014461C141071460 @default.
• W4240014461 hasConceptScore W4240014461C142724271 @default.
• W4240014461 hasConceptScore W4240014461C2778716859 @default.
• W4240014461 hasConceptScore W4240014461C2780221984 @default.
• W4240014461 hasConceptScore W4240014461C2780978852 @default.
• W4240014461 hasConceptScore W4240014461C42219234 @default.
• W4240014461 hasConceptScore W4240014461C71924100 @default.
• W4240014461 hasLocation W42400144611 @default.
• W4240014461 hasLocation W42400144612 @default.
• W4240014461 hasOpenAccess W4240014461 @default.
• W4240014461 hasPrimaryLocation W42400144611 @default.
• W4240014461 hasRelatedWork W1980062584 @default.
• W4240014461 hasRelatedWork W1986167255 @default.
• W4240014461 hasRelatedWork W2009730715 @default.
• W4240014461 hasRelatedWork W2169350507 @default.
• W4240014461 hasRelatedWork W2357143860 @default.
• W4240014461 hasRelatedWork W3028787224 @default.
• W4240014461 hasRelatedWork W3117439638 @default.
• W4240014461 hasRelatedWork W3176304498 @default.
• W4240014461 hasRelatedWork W4252952579 @default.
• W4240014461 hasRelatedWork W50943698 @default.
• W4240014461 isParatext "false" @default.
• W4240014461 isRetracted "false" @default.
• W4240014461 workType "article" @default.