Mock delivery drill in a super morbidly obese parturient
To the Editor,
There are several published reports on the anesthetic management of super morbidly obese parturients during obstetrical deliveries.1-4 Nevertheless, to our knowledge, there are no reports on the procedural preparations required beforehand.
With appropriate institutional ethics approval and patient consent, we describe a “mock delivery” performed in preparation for the planned vaginal delivery of a 38-yr-old super morbidly obese (216 kg) G4 P0 parturient with a body mass index (BMI) of 86.5 kg·m−2. Her medical history included mild asthma, anxiety, and psoriasis. Airway examination showed a Mallampati class II airway, normal neck extension, and normal thyromental distance.
At 37 weeks gestation, the patient attended the labour and delivery ward where anesthesiology, obstetrics, and nursing performed a “mock delivery”, including Cesarean delivery. After the patient’s arrival in a bariatric wheelchair, the first unforeseen obstacle was obtaining an appropriately sized...
Conflicts of interest
This submission was handled by Dr. Philip M. Jones, Associate Editor, Canadian Journal of Anesthesia.