[Morbidly obese patient with a huge ovarian tumor who was intubated while awake using airway scope in lateral decubitus position].
A morbidly obese woman with a huge ovarian tumor was scheduled to undergo tumor resection under general anesthesia. Under slight sedation with midazolam and fentanyl, a tracheal tube was inserted smoothly using Pentax-AWS Airway Scope, and general anesthesia was thereafter maintained by sevoflurane. To avoid circulatory collapse and reexpansion pulmonary edema, the content of the huge ovarian tumor was aspirated through a small drainage tube to reduce volume and weight of the tumor. Then resection of the ovarian tumor and abdominal wall tissue was performed in supine position. Periooperative course was uneventful.
Shinohara
Hiromi
H
Department of Anesthesia, Kyoto University Hospital, Kyoto 606-8507.
Ishii
Hisanari
H
Kakuyama
Masahiro
M
Fukuda
Kazuhiko
K
D000328:Adult; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D020704:Laryngoscopes; D008738:Methyl Ethers; D009767:Obesity, Morbid / Q000150:complications*; D010051:Ovarian Neoplasms / Q000150:complications* / Q000601:surgery*; D000077149:Sevoflurane; D016683:Supine Position; D014851:Wakefulness
D008738:Methyl Ethers; D000077149:Sevoflurane