Anaesthetic Challenges in a High-Risk Geriatric Patient with Obstructive Sleep Apnea, Pectus Carinatum, Poor Exercise Tolerance and Cardiac Ailment

Introduction: This case involves a 70-year-old male with obesity, hypertension, diabetes, smoking history, and COPD-like symptoms. Notably, he has obstructive sleep apnea (OSA) and pectus excavatum deformity, posing unique challenges. A past cardiac intervention adds further complexity. Case presentation: The patient’s OSA heightens perioperative respiratory risks, while pectus excavatum complicates airway management during open cholecystectomy. Comprehensive preoperative assessments, including cardiac evaluations, were crucial. Conclusion: Successful anaesthetic management hinged on tailored strategies and interdisciplinary collaboration. This case underscores the significance of meticulous preoperative evaluation in navigating complexities arising from comorbidities and anatomical anomalies. Keywords: Anaesthesia, Obesity, OSA, Pectus excavatum, Perioperative care.