RT Book, Section
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.
SR Print(0)
ID 1159983531
T1 Obstetric Anesthesia
T2 OB/GYN Hospital Medicine: Principles and Practice
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259861697
LK obgyn.mhmedical.com/content.aspx?aid=1159983531
RD 2024/04/19
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.