ABSTRACT
Migration of the tip of central venous catheters is not an uncommon event and the mechanism for this is not clear. Increased intrathoracic pressure due to coughing, sneezing or weight lifting, changing the body position or physical movements such as abduction or adduction of the arms is thought to be the cause of such migration. We present here a case of a patient with a port catheter tip that migrated from the left subclavian to the superior vene cava following extubation
Subject(s)
Humans , Female , Central Venous Catheters/adverse effectsABSTRACT
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