AI Article Synopsis
- A 59-year-old woman with an ovarian tumor, marked by massive ascites and slight pleural effusion, underwent a scheduled radical hysterectomy under general anesthesia despite experiencing some respiratory issues prior to surgery.
- During the operation, her oxygenation worsened significantly after ascites was suctioned, leading to increased airway pressure, but it was temporarily managed by raising the fraction of inspired oxygen (FI(O2)).
- Post-surgery, a chest X-ray revealed bilateral massive pleural effusion, which was drained, resulting in improved oxygenation and allowing for the removal of the endotracheal tube; highlighting the importance of careful anesthetic management and regular assessments in similar patients.
Article Abstract
A 59-year-old woman with ovarian tumor was scheduled for radical hysterectomy under general anesthesia. Preoperative examination showed massive ascites and slight pleural effusion. Since respiratory status had improved by oxgen therapy, she underwent a surgery as scheduled, although she complained of slight dyspnea and low Sp(O2). Induction of anesthesia was uneventful. However, oxygenation deteriorated and airway pressure increased after suction of ascites during the operation. We treated it with increased FI(O2). After surgery, we found bilateral massive pleural effusion on the chest X-ray and drained it. Oxygenation improved, and the endotracheal tube was removed. Patients with ovarian tumor with pleural effusion and ascites may have desaturation due to increased pleural effusion during the operation, or pleural effusion might increase preoperatively. Therefore, we need to be cautious about anesthetic management of them and examine chest X-ray and arterial blood gas frequently.
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