title: [Anesthetic management of a patient with an ultra huge ovarian tumor].
abstract: We managed a patient with an ultra huge ovarian tumor weighing 48 kg. The patient was a 45-year-old woman and could not keep the supine position because of the respiratory disorder. Under local anesthesia with sedation, 28,000 ml of fluid was suctioned from the ultra huge ovarian tumor within about 2 hours in the left lateral position. The patient was turned into the supine position, and general anesthesia was induced. During the surgery, temporary oxygen desaturation and slight hypotension were observed after rapid suction from the ovarian tumor, but hemodynamic condition was almost stable. After extubation, respiratory and hemodynamic condition was good, and the patient had no postoperative complications. Anesthetic management of an ultra huge ovarian tumor is discussed.
authors.affiliation: Department of Anesthesiology, National Kumamoto Medical Center, Kumamoto 860-0008.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kotera
authors.forename: Seiji
authors.initials: S
authors.lastname: Kouzuma
authors.forename: Naoki
authors.initials: N
authors.lastname: Miyazaki
authors.forename: Kenichirou
authors.initials: K
authors.lastname: Taki
authors.forename: Kimiaki
authors.initials: K
authors.lastname: Esaki
mesh_terms: D000768:Anesthesia, General; D000772:Anesthesia, Local; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery*; D013396:Suction