Afyon Kocatepe Üniversitesi Tıp Fakültesi Anesteziyoloji AD, Afyonkarahisar

Anesthetic management of morbid obese cases is problematic. Regional anaesthesia is stated as the most appropriate anesthetic choice in these patients. 34 years old, morbid obese woman is attributed to our hospital on her thirty eighth month of her fifth pregnancy with preeclampsia. Epidural anaesthesia is applied. Epidural space is reached at 7.5 cm from the third lumbar space by the loss of resistance technique. 5 ml of 0.5% bupivacain is applied after 7-8 minutes of applying 3 ml of 2% lignocaine as a test dose. Sensorial block reached thoracal fourth dermatome in 10 minutes although motor block was not observed. Surgery was uneventful. We introduce a morbid obese, preeclamptic case that needed relatively low epidural local anaesthetic dose.