关键词: aggressive fibromatosis anesthesia management arrhythmia case report hiatal hernia

来  源:   DOI:10.3389/fsurg.2022.921887   PDF(Pubmed)

Abstract:
UNASSIGNED: A giant abdominal tumor with a large hiatal hernia remains a rare disease with few studies regarding its implications in anesthesia. A large hiatal hernia may compress the heart and cause arrhythmia and even cardiac arrest, which greatly increases the risks and challenges of anesthesia management.
UNASSIGNED: We present a case in which a patient with a giant abdominal desmoid tumor and large hiatal hernia experienced a critical situation during anesthesia and surgery.
UNASSIGNED: It is a great challenge for anesthesiologists to manage a patient\'s respiratory system and circulation. Careful perioperative management and optimized multidisciplinary teams are the key factors in the successful management of this rare condition. In addition, awake endotracheal intubation, ventilation preserving spontaneous breathing and target-directed fluid therapy play an essential role in anesthesia management.
摘要:
未经证实:巨大的腹部肿瘤伴食管裂孔疝仍然是一种罕见的疾病,关于其在麻醉中的意义的研究很少。大的食管裂孔疝可能会压迫心脏,导致心律失常,甚至心脏骤停,这大大增加了麻醉管理的风险和挑战。
UNASSIGNED:我们介绍了一个病例,其中一名患有巨大的腹部硬纤维瘤和大的食管裂孔疝的患者在麻醉和手术过程中出现了危急情况。
UNASSIGNED:对于麻醉医师来说,管理患者的呼吸系统和循环是一个巨大的挑战。精心的围手术期管理和优化的多学科团队是成功治疗这种罕见疾病的关键因素。此外,清醒气管插管,保留自主呼吸的通气和靶向液体治疗在麻醉管理中起着至关重要的作用.
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