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CARDIOVASCULAR ANESTHESIA

An Alternative Anesthetic Technique for the Morbidly Obese Patient Undergoing Endovascular Repair of an Abdominal Aortic Aneurysm

Maurice Lippmann, MD^*, Sonny Rubin, MD^*, Richard Ginsburg, MD^*, Rodney A. White, MD, Jason Lee, MD, James Lee, MD, and Ihab Aziz, MD

Depatrments of *Anesthesiology and Surgery, Harbor-UCLA Medical Center, Torrance, California

Address correspondence and reprint requests to Maurice Lippmann, MD, Professor of Anesthesiology, Harbor-UCLA Medical Center, Department of Anesthesiology, 1000 W. Carson Street, Box 10, Torrance, CA 90509. Address email to smaddox{at}dhs.co.la.ca.us

Abdominal aortic aneurysms have been treated by open operative repair for many years. A frequent rate of morbidity is associated with the natural history of abdominal aortic aneurysms in combination with open surgical repair. Recently a new technique that is less surgically invasive has been developed as an alternative to open repair. The present case report outlines a less invasive anesthetic technique for the morbidly obese patient.

IMPLICATIONS: This case report discusses a minimally invasive anesthetic approach towards the morbidly obese patient undergoing endovascular abdominal aortic aneurysm repair. It demonstrates a safe and cost-effective means of managing a patient with numerous comorbidities. We also discuss an anesthetic/surgical approach on how to provide maximum analgesia with minimal anesthesia.