title: [Morbidly obese patient with a huge ovarian tumor who was intubated while awake using airway scope in lateral decubitus position].
abstract: 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.
authors.affiliation: Department of Anesthesia, Kyoto University Hospital, Kyoto 606-8507.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Shinohara
authors.forename: Hisanari
authors.initials: H
authors.lastname: Ishii
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kakuyama
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Fukuda
mesh_terms: 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
chemical_list: D008738:Methyl Ethers; D000077149:Sevoflurane