Anaesthetic challenges in a super-morbidly obese patient undergoing laparoscopic sleeve gastrectomy

Laparoscopic sleeve gastrectomy [LSG] is an effective method of treating patients suffering from morbid obesity. The perioperative care of these patients can be complicated by physiological derangement, comorbidities, problems with the patient's airway and alterations in pharmacokinetics and pharmacodynamics of some drugs. We report a case of a 45-year-old man with body weight of 252 kg and body mass index [BMI] of 77 kg/m[2] who underwent LSG. This case investigates possibly the most overweight patient to undergo general anaesthesia in the United Arab Emirates [UAE]. Specific protocols in anaesthetic management and perioperative care should be implemented to allow effective and safer treatment in obese patients