No Block, No Time: Emergent General Anesthesia for Failed Neuraxial in a Morbidly Obese Patient

Authors

• Sumana Tangirala
• Rania Fardous, Corewell Health East Resident
• Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-18-2026

Abstract

Neuraxial anesthesia is the preferred technique for cesarean delivery, though inadequate blockade remains a risk, particularly in obese patients. We present a 35 year old G1P0 with a BMI of 56 who underwent an emergent cesarean section and experienced incomplete analgesia with persistent intraoperative sensation, requiring conversion to general anesthesia. This case highlights early recognition of inadequate block, limitations of rescue dosing, and timely escalation to general anesthesia. We discuss perioperative decision-making, risk-benefit assessment in urgent obstetric settings, and technical challenges unique to obese patients, with emphasis on preparedness for anesthetic conversion and maternal and fetal safety.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

Recommended Citation

Tangirala S, Fardous R, Soto R. No block, no time: emergent general anesthesia for failed neuraxial in a morbidly obese patient. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2026 Oct 18; San Diego, CA. Available from: https://www.abstractsonline.com/pp8/#!/21448/presentation/7684