TY  - CHAP
M1  - Book, Section
TI  - Obstetric Anesthesia
A1  - Nelson, Corey K.
A1  - Choi, Ho J.
A1  - Portnoy, Dmitry
A2  - Butler, Jennifer R.
A2  - Amin, Alpesh N.
A2  - Fitzmaurice, Laura E.
A2  - Kim, Christine M.
PY  - 2019
T2  - OB/GYN Hospital Medicine: Principles and Practice
AB  - CASE  42-1A  19  y.o.  primigravida  is  admitted  to  L&D  for  induction  of  labor  at  34  weeks  gestation,  secondary  to  preeclampsia  with  severe  features.  The  anesthesia  service  is  consulted  in  anticipation  of  the  need  for  a  labor  epidural.  Upon  examination,  the  patient  appears  morbidly  obese  (height  157  cm/weight  130  kg).  Her  blood  pressure  is  147/89,  heart  rate  92,  respiratory  rate  24,  O2  saturation  97%,  and  she  has  significant  edema  of  her  hands  and  ankles.  CBC  shows  hemoglobin  of  9.4  g/dl  and  platelets  of  112,000.  The  coagulation  profile  is  within  normal  range.  Examination  of  her  airway  shows  poor  visualization  of  the  uvula  as  well  as  a  thick  and  short  neck.  Examination  of  the  lumbar  area  reveals  poor  external  landmarks.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - obgyn.mhmedical.com/content.aspx?aid=1159983531
ER  -