Nursing Anesthesia for obese patient

Abstract

     Obese patients are patients who have more body fat than usual. have a negative effect on health, quality of life In many ways, it increases the risk of various diseases and when surgery is needed. Anesthesia
increases of complications more then such as Difficulty intubation hypoxia high blood pressure etc. may cause patients to require more treatment or longer hospital stays due to various complications This comparative study of two case studies aims to To compare nursing care at different stages of anesthesia. Between 2 obese patients with a BMI between 35.0-39.9, classified as obesity degree 2 and having underlying disease, both cases

     The first case study was a male patient with gallbladder disease. Must have surgery for gallstones in the gallbladder by laparoscopic surgery and have a congenital disease, asthma had a body mass index of 38.38 kg/m2 Assess the difficulty of intubation level 2. Provide equipment to hold the head upright. No special equipment is required. Intubation can be carried out without complications. And after the surgery, there was a problem wound pain The second case study was a male patient with a closed fracture of the right thumb requiring surgical suture and bone fixation. High blood pressure is detected and has not been treated. and had a body mass index of 39.51 kg/m2. From the physical examination, it was found that intubation was difficult. Special equipment for intubation was required. In addition, the oxygen value in the blood was 94%, which could be considered that this patient had a greater risk of hypoxia more than Therefore, it requires the experience of personnel who are skilled in intubation and special equipment, Video Laryngoscope with Stylet, and Ramp Position to reduce the chance of lack of oxygen for the patient. Intermittent hypertension was observed during anesthesia administration. This makes it necessary for this patient to give blood pressure-lowering drugs. When after surgery in the recovery room, the patient is not fully awake and able to breath on his own and had to be put on oxygen for another 2
hours because the oxygen value in the blood was 97%, so this patient had to observe abnormal symptoms in the recovery room for a long time