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Anesthetic consideration in Meigs syndrome with large pleural effusion and lung collapse

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摘要 Meigs syndrome(MS)is characterized by a benign ovarian tumor(fibroma),hydrothorax on the right side,and ascites;which can be resolved permanently after surgery.Available literature reveals that most MS surgeries were performed under general anesthesia(GA)[1].However,GA poses major risks to the patient.Considering the high risk of gastric content regurgitation,poor general condition or dyselectrolytemia may lead to delayed arousal,and associated multi-organ dysfunction.Intraoperative mechanical ventilation is also difficult due to ascites and hydrothorax(reduced cardiac output,impaired ventilation-perfusion in lungs causing hypoxia and hypercapnia)[1,2].In this letter,we report a case of MS tumor resection under the subarachnoid block(SAB)to mitigate these issues and also review the complications associated with both techniques.
出处 《Journal of Acute Disease》 2024年第1期43-44,I0006,I0007,共4页 急性病杂志(英文版)
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