A case of awareness with sevoflurane and epidural anesthesia in ovarian tumorectomy.
We experienced a case of awareness during ovarian tumorectomy in a patient who was anesthetized with sevoflurane and epidural anesthesia. A 74-year-old woman was scheduled for resection of an ovarian tumor. After epidural catheter insertion, anesthesia was induced with 60 mg of propofol and 6 mg of vecuronium, and anesthesia was maintained with epidural anesthesia (1% mepivacaine), 1 to 2% sevoflurane, and 66% nitrous oxide in oxygen. The operative course was uneventful and the total operation time was 2 hours and 50 minutes. Two days after the operation, we were surprised to learn that the patient complained of awareness during the surgery.
Miura
S
S
Department of Anesthesiology, Yamanashi Medical University, Japan.
Kashimoto
S
S
Yamaguchi
T
T
Matsukawa
T
T
D000368:Aged; D000767:Anesthesia, Epidural; D000769:Anesthesia, Inhalation; D018685:Anesthetics, Inhalation; D001364:Awareness / Q000502:physiology*; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008738:Methyl Ethers; D003473:Neuromuscular Nondepolarizing Agents; D010051:Ovarian Neoplasms / Q000601:surgery*; D000077149:Sevoflurane; D014673:Vecuronium Bromide
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D003473:Neuromuscular Nondepolarizing Agents; D000077149:Sevoflurane; D014673:Vecuronium Bromide