The relation between body mass index and difficulty in inducing spinal anesthesia in elective cesarean section
Mahrous, R., Alalfy, M., Abdalgeleel, S., Abdelnasser, A., Abd Elfattah, D., Hassen, H., Ibrahim Ogila, A., Ibrahim, M. (2021). The relation between body mass index and difficulty in inducing spinal anesthesia in elective cesarean section. EKB Journal Management System, 37(1), 373-376. doi: TEJA-2021-0100
Reham Mahrous; Mahmoud Alalfy; Shaimaa Abdalaleem Abdalgeleel; Amr Abdelnasser; Doaa A. Abd Elfattah; Hatem Hassen; Asmaa Ibrahim Ogila; Mohamed Ahmed Ibrahim. "The relation between body mass index and difficulty in inducing spinal anesthesia in elective cesarean section". EKB Journal Management System, 37, 1, 2021, 373-376. doi: TEJA-2021-0100
Mahrous, R., Alalfy, M., Abdalgeleel, S., Abdelnasser, A., Abd Elfattah, D., Hassen, H., Ibrahim Ogila, A., Ibrahim, M. (2021). 'The relation between body mass index and difficulty in inducing spinal anesthesia in elective cesarean section', EKB Journal Management System, 37(1), pp. 373-376. doi: TEJA-2021-0100
Mahrous, R., Alalfy, M., Abdalgeleel, S., Abdelnasser, A., Abd Elfattah, D., Hassen, H., Ibrahim Ogila, A., Ibrahim, M. The relation between body mass index and difficulty in inducing spinal anesthesia in elective cesarean section. EKB Journal Management System, 2021; 37(1): 373-376. doi: TEJA-2021-0100

The relation between body mass index and difficulty in inducing spinal anesthesia in elective cesarean section

Egyptian Journal of Anaesthesia
Volume 37, Issue 1, January 2021, Page 373-376  XML PDF (291.1 K)
DOI: TEJA-2021-0100
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Authors
Reham Mahrous; Mahmoud Alalfy; Shaimaa Abdalaleem Abdalgeleel; Amr Abdelnasser; Doaa A. Abd Elfattah; Hatem Hassen; Asmaa Ibrahim Ogila; Mohamed Ahmed Ibrahim
Abstract
Introduction
Increasing numbers of people globally are affected by obesity, and the number of obese parturient women has correspondingly risen. For obese parturient women, neuraxial anesthetic procedures are generally safe. As the body mass index (BMI) increases, spinal anesthesia becomes more challenging, with a larger failure rate.
Methodology
A total of 383 parturient women were included in this research. They were assigned to three groups according to BMI: Group 1 included 157 women with a BMI of <30; group 2 included 189 women with a BMI of 30–40, and group 3 included 37 women with a BMI of >40. Participants’ ages, weights, and heights were documented, and the number of attempts at inducing spinal anesthesia during labor was counted. Every new skin puncture was considered a new attempt. The success or failure of the blockade was noted.
Results
In pregnant participants, we found that BMI was a reliable predictor of difficulty with the neuraxial technique of inducing spinal anesthesia. We found a weakly positive correlation ( = 0.132) between BMI and the number of attempts to induce spinal anesthesia. This association was statistically significant ( = 0.01).
Conclusion
In pregnant patients, especially those who are obese and have a substantial amount of fatty tissue in the back, anesthesiologists should check the patient’s back thoroughly during the initial patient encounter. We also advise that anesthesia induction be carried out by an experienced senior anesthesiologist.
Keywords
Spinal anesthesia; Obesity; Body Mass Index; cesarean section
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