Evidence map›Paper›PMID 40955234›Full record

ArticleCureus2025

Anesthetic Management in a Pregnant Woman With Super Morbid Obesity and Severe Obstructive Sleep Apnea Syndrome Undergoing Cesarean Section: A Case Report.

Takayuki Morimoto, Hiroyuki Ogino, Kentaro Hara, Michiko Yamaguchi, Tetsuya Hara

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Takayuki MorimotoDepartment of Anesthesiology and Intensive Care Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JPN.
Hiroyuki OginoDepartment of Anesthesiology, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.
Kentaro HaraHealthcare Management Research Center, Chiba University Hospital, Chiba, JPN.
Michiko YamaguchiDepartment of Anesthesiology, National Hospital Organization Nagasaki Medical Center, Nagasaki, JPN.
Tetsuya HaraDepartment of Anesthesiology and Intensive Care Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pregnant women with super morbid obesity (Class III obesity) and severe obstructive sleep apnea syndrome (SAS) undergoing cesarean section present significant anesthetic challenges. Although the ramped position (RAMP) and noninvasive positive pressure ventilation (NPPV) may optimize respiratory function, their intraoperative use in this population is not widely reported. A 36-year-old pregnant woman with obesity (BMI = 50 kg/m²) and severe SAS underwent cesarean section under combined spinal-epidural anesthesia. RAMP and bilevel positive airway pressure (BiPAP) were employed to optimize respiratory function. Despite achieving a T4 sensory blockade, the prolonged duration of surgery resulted in upper abdominal pain, necessitating propofol sedation. This led to respiratory depression, which was successfully managed by adjusting the BiPAP settings. RAMP and NPPV, particularly BiPAP, may be beneficial in optimizing respiratory management during cesarean section in pregnant women with super morbid obesity and severe SAS, especially in cases requiring unexpected sedation.

Indexed as

bilevel positive airway pressure (bipap)combined spinal-epidural anesthesia (csea)noninvasive positive pressure ventilation (nppv)obesityramped position (ramp)sleep apnea syndrome

Identifiers

PMID40955234
PMCPMC12433570

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.