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Case Report

Anaesthetic Management of a Giant Retroperitoneal Tumor

M. Sai Sharath Meghana, Ravi Madhusudhana, Vishnuvardhan Voleti

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Indian Journal of Anesthesia and Analgesia 11(2):p 73-76, April - June 2024. | DOI: https://doi.org/10.21088/ijaa.2349.8471.11224.3

How Cite This Article:

Meghana MSS, Madhusudhana R, Voleti V. Anaesthetic management of a giant retroperitoneal tumor. Ind J Anesth Analg. 2024;11(2):73-6.

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Received : March 07, 2024         Accepted : June 26, 2024          Published : June 29, 2024

Abstract

Sarcomas are malignant tumors developing from mesenchymal cell lineages. The most common soft tissue sarcoma and prevalent retroperitoneal sarcoma is liposarcomas. As this was a major surgery, in view of anticipated blood loss, need for vasoactive medication, a central venous catheter was secured, epidural catheter was placed. Patient was induced as per the standard anaesthesia protocol and maintained on O2, N2O and Isoflurane. An arterial line was placed. A low dose Noradrenaline infusion was started. Intraoperatively 2 pints of PRBC was transfused, patient was shifted to ICU for elective ventilation. Regular epidural top ups were given for post operative analgesia. Patient was reposted for total thyroidectomy and neck dissection after 15 days and the main concerns of this surgery were the vascularity of tumour and post operative development of tracheomalacia. Utmost care was taken for fluid management and blood loss for the case and patient was checked for vocal cord movements to confirm the absence of recurrent laryngeal nerve injury and tracheomalacia. The anaesthetic management was handled successfully without any complications.


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This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

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Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Meghana MSS, Madhusudhana R, Voleti V. Anaesthetic management of a giant retroperitoneal tumor. Ind J Anesth Analg. 2024;11(2):73-6.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
March 07, 2024 June 26, 2024 June 29, 2024

DOI: https://doi.org/10.21088/ijaa.2349.8471.11224.3

Keywords

AnaesthethesiaFluid managementRetroperitoneal tumour

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Received March 07, 2024
Accepted June 26, 2024
Published June 29, 2024

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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