Anesthetic management of a morbidly obese patient with supracondylar femur fracture

To our literature search, supracondylar femur fracture is not a rare circumstance with morbid obesity. We report a case of closed reduction and internal fixation for a supracondylar femur fracture of a 46-year-old, 168 kg, 172 cm tall [body mass index-(BMI) > 55 kg/m ] morbid obese man. The patient was premedicated with diazepam 10 mg orally and was brought to the operating room on a transport stretcher and taken onto conventional operating tables hardly that had been placed side by side. Since the morbidly obese patient has such risk factors as hypertension and Mallampati Score IV and type II diabetes and obstructive sleep apnea (OSA), standard dose spinal anesthesia, including hyperbaric bupivacaine and fentanyl mixture, was decided to be given. As the consequences of proper attention to special status such as easy positioning, suitable anesthesia technique, avoiding complications about airway and haemodynamics, he safely underwent to the closed reduction with singe dose spinal anesthesia.