Anesthetic Management of a Young Obese Patient for Emergency Lower Limb Orthopedic Surgery: A Case Report

Obesity, the new-age epidemic, is a health hazard as it adversely affects the functioning of various organ systems of our body namely, cardiovascular, respiratory, endocrine, hepatic and renal system. Obese patients have various anatomic changes that affects their airway. Also, due to anthropometric changes, they can be difficult to move and position for a regional block, whereas an inadequate block may necessitate performing general anesthesia under less than ideal conditions. Overall, perioperative management of an obese patient is challenging for anesthesia. Emergency ORIF with tibial plating and C-C screw fixation was planned for a 30-year old female patient weighing 80 kg with 160 cm height and BMI of 31.25 Kg/m2 who presented with malleolar fracture of right lower limb. The patient had tachycardia with heart rate 102 beats/min, blood pressure 126/87 mmHg and a short thick neck. Case was conducted under spinal anesthesia using a 25-gauge Quincke's spinal needle and 17.5