title: [Perioperative management of a neonate with a retroperitoneal giant teratoma who underwent its extirpation under general anesthesia: a case report].
abstract: We gave anesthesia to a neonate with a retroperitoneal giant teratoma who underwent its extirpation. Even if patients have a prenatal diagnosis of teratoma like this case, there are many patients, especially infants, with severe general condition. We report the difficulty for management during anesthesia because of severe respiratory acidosis due to pressure from diaphragmatic pleura by tumor, severe circulatory disorder due to massive bleeding during operation and severe hyperkalemia due to renal failure.
authors.affiliation: Department of Anesthesia, Otemae Hospital, Osaka 540-0008.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Shibasaki
authors.forename: Keiko
authors.initials: K
authors.lastname: Okano
authors.forename: Kyoko
authors.initials: K
authors.lastname: Kageyama
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Nakajima
authors.forename: Takae
authors.initials: T
authors.lastname: Ibuki
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Tanaka
mesh_terms: D000142:Acidosis, Respiratory / Q000150:complications; D000768:Anesthesia, General / Q000379:methods*; D005260:Female; D006801:Humans; D006947:Hyperkalemia / Q000150:complications; D007223:Infant; D019990:Perioperative Care; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000601:surgery*; D013724:Teratoma / Q000150:complications / Q000601:surgery*