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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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| Česky / Czech version | Anest. intenziv. Med., 16, 2005, č. 4, s. 185–190. |
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Complex approach to oncological and oncosurgical therapy in morbidly obese patient: case
report Málek J.1, Kubecová M.2, Kurzová A.1, Pachl J.1, Svoboda B.3, Tvrdek M.4 1Klinika anesteziologie a resuscitace 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha 2Klinika radioterapie a onkologie 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha 3Klinika gynekologie a porodnictví 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha 4Klinika plastické chirurgie 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha |
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Summary: A case of morbidly obese 65-year old patient (body mass index BMI = 56) with gynaecological malignant
tumour is described. After repeated uneventful subarachnoid blocks she suffered a fracture of the femur
and pelvis as a result of falling out of bed. Following successful orthopaedic treatment the malignant
gynaecological tumour recurred. The combined gynaecological and plastic surgery under general anaesthesia
was followed by failure of vital functions and the patient was admitted to the critical care unit. Finally
she recovered completely. The problems of anaesthesia in morbidly obese patients are discussed.
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