Cesarean section in a patient with body mass index > 80 kg/m2 : a case report highlighting the clinical challenges

Obesity is a public health concern due to several coexisting conditions like hypertension, diabetes, and pulmonary and cardiovascular limitations.Anesthetic challenges are increased in obese patients, mainly during pregnancy.We report a case of a super obese patient scheduled for elective cesarean section.Spinal anesthesia was performed and went uneventful.Several issues were under concern: difficult venous access and spinal puncture; severe hypotension; difficult airway access; and the need for extra personnel for management.This is a rare and challenging situation for anesthesiologists that requires extra care for successful maternal and fetal outcomes.