EN 
IN
Journal article
Anestesia perioperatif pada pasien obesitas morbid dengan gangguan tidur
Ferdi Yanto Ida Bagus Gde Sujana
Volume : 50 Nomor : 3 Published : 2019, December
Medicina
Abstrak
Obesity is a major health concern not only in develop country but also in developing country such as Indonesia while its prevalence is still increasing in all economic status. Obesity is correlated with many illnesses form various organ. Obesity hypoventilation syndrome (OHS) is defined by the triad of morbid obesity, daytime hypoventilation with hypercapnia, and hypoxemia. Here in we reported a case of 33 years old male with chronic tonsillitis, adenoid hypertrophy and OSA, who came for a planned adenotonsilectommy. Pre-anesthesia evaluation showed patient with physical status of ASA III and Mallampati III. General anesthesia was performed with awake intubation technique. Intraoperative patient stable and safe with post operation care in Intensive Care Unit (ICU) after it. During observation in ICU show desaturation with polisitemia so the diagnosis of OHS can be established. Two days after treatment with CPAP, the patient’s condition is improved. Physical examination, full blood laboratory, blood gas analysis, and lung function tests are essential Obesity hypoventilation syndrome (OHS) remains a challenge in anesthesia management and peri-operative evaluation.