Article Text

Download PDFPDF
Perioperative challenges in a morbidly obese former COVID-19 patient undergoing elective spine surgery
  1. Zhen Hao Leo1,
  2. Fathir Fath Mohammad Iskandar2,
  3. Tat Boon Yeap3 and
  4. Chin Pei Bong4
  1. 1Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Malaysia
  2. 2Department of Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Malaysia
  3. 3Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  4. 4Department of Orthopaedic Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}


Anaesthesia for patients with severe lung fibrosis post COVID-19 infection requires special consideration. This is due to its propensity to cause perioperative anaesthetic catastrophe and possibility of cross infection among healthcare workers if not properly managed. This interesting article elaborates in detail the anaesthetic and surgical challenges in a morbidly obese patient who had a severe COVID-19 infection presenting for an elective spine surgery.

  • anaesthesia
  • COVID-19
  • orthopaedics

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors ZHL participated as coauthor for this manuscript. FFMI, CPB and TBY were the managing clinicians for this patient perioperatively.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.