Anesthetic conduction in giant ovarian tumor
Abstract
Introduction: Teratoma is a germ cell tumor that frequently occurs in childbearing age, and is mostly benign.
Objective: To present a case study of anesthetic conduction in giant ovarian tumor.
Presentation of the case: A 32-year-old black patient with malnutrition, no history of pregnancy, abdominal pain radiating to the lumbar region, dyspectic disorders, costipation alternating with periods of abundant liquid stools, amenorrhea and increased volume in the abdomen. A giant left ovarian cyst was diagnosed. It was classified as ASA II with high surgical risk. Preoperative management was performed to optimize the patient's physical condition. Intraoperatively, general endotracheal anesthesia with polypharmacy and hemodynamic support with hemocomponents and vasoactive medications was administered during the abdominal decompression period. He was transferred to the recovery room with spontaneous ventilation, without pain and progressing satisfactorily.
Conclusions: The use of multimodal analgesia was proven for adequate pain control, minimizing possible postoperative complications, aided by preventive management with polypharmacy and hemodynamic support during the abdominal decompression period.
Keywords: General anesthesia, abdominal decompression, hemodynamic monitoring, multimodal, teratoma
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References
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