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Title: Preoperative Optimization and Choreographed Physiological Evaluation for Resection of Giant Abdominal Neoplasm: A Case Report.
Austin Authors: Miles, Lachlan F ;Tosif, Shervin ;Tan, Chong O ;Fink, Michael A ;Weinberg, Laurence 
Affiliation: Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 15-Aug-2019
Date: 2019-04-19
Publication information: A&A practice 2019; 13(4): 140-144
Abstract: Giant ovarian cystadenoma is a rare and often late presentation. The mass effect of such tumors can lead to profound respiratory and cardiovascular compromise, predominately through inferior vena cava compression, but also restriction of normal lung function through transdiaphragmatic mass effect and, as is seen in this case, cardiac tamponade. In this article, the authors outline an expedited program of preoperative optimization and a choreographed physiological assessment strategy to functionally assess the hemodynamic consequences of a giant ovarian mucinous neoplasm, thereby informing the safe conduct of anesthesia and surgery.
DOI: 10.1213/XAA.0000000000001017
ORCID: 0000-0001-7403-7680
Journal: A&A practice
PubMed URL: 31021824
Type: Journal Article
Appears in Collections:Journal articles

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