Intraoperative Status Asthmaticus in a Morbidly Obese Preteen Undergoing Concomitant Vertical Sleeve Gastrectomy and Orthotopic Liver Transplant

Authors

Abigail Pint, Children's Mercy Kansas CityFollow
Neal Campbell, Children's Mercy HospitalFollow
Preethi Tumati

Publication Date

10-2024

Files

Abstract

10-year-old morbidly obese male with cirrhotic ESLD secondary to vertically transmitted Hepatitis C presented for liver transplantation and concomitant vertical sleeve gastrectomy. Other history included moderate persistent asthma, OSA, and presumed HPS with baseline SpO2 of 94%. Induction was smooth; intubation with an armored ETT was easy. During invasive monitor placement, bronchospasm worsened SpO2. Continuous albuterol nebulization provided reasonable reversal, and all stakeholders agreed to proceed. Postoperative course was complicated by status asthmaticus and dramatic extubation on POD3 when patient bit and kinked armored ETT. To date, patient has good graft function and a 16% reduction from his peak BMI.

Disciplines

Anesthesiology | Pediatrics

Notes

Presented at the American Society of Anesthesiologists 2024 Annual Meeting; Philadelphia PA; October 18-22, 2024.

Recommended Citation

Pint, Abigail; Campbell, Neal; and Tumati, Preethi, "Intraoperative Status Asthmaticus in a Morbidly Obese Preteen Undergoing Concomitant Vertical Sleeve Gastrectomy and Orthotopic Liver Transplant" (2024). Posters. 433.
https://scholarlyexchange.childrensmercy.org/posters/433