| Mechanical obstruction to ventilation from an ovarian cyst during pregnancy. | |
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MedLine Citation:
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PMID: 2065417 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This report documents the danger of the gravid uterus fixing a large ovarian cyst in a position disadvantageous to diaphragmatic excursion and thereby obstructing ventilation. A 34-year-old pregnant patient presented at 18 weeks amenorrhoea with a large ovarian cyst. She gave a history of exertional dyspnoea and orthopnoea. Clinical examination revealed a grossly enlarged abdomen and a respiratory rate of 28 breaths.min-1. Intraoperatively, ventilation was markedly impaired resulting in cyanosis and bradycardia. This was relieved by drainage of the ovarian cyst. A left lateral tilt with manual traction on the tumour may have avoided this problem. Should the above measures be inadequate, immediate drainage of the cyst is essential. Severe respiratory distress may require ultrasound-guided, percutaneous, aspiration of the cyst preoperatively. However, as in this patient, the absence of gross signs of respiratory failure does not preclude acute ventilatory failure after induction of anaesthesia. |
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Authors:
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D T Beng; L T Choon |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Canadian journal of anaesthesia = Journal canadien d'anesthésie Volume: 38 ISSN: 0832-610X ISO Abbreviation: Can J Anaesth Publication Date: 1991 May |
Date Detail:
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Created Date: 1991-08-15 Completed Date: 1991-08-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8701709 Medline TA: Can J Anaesth Country: CANADA |
Other Details:
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Languages: eng Pagination: 496-8 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia, Alexandria Hospital, Singapore. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Airway Resistance Anesthesia, Inhalation Anesthesia, Intravenous Female Humans Ovarian Cysts / complications*, pathology Pregnancy Pregnancy Complications* Respiratory Insufficiency / etiology*, physiopathology Respiratory Mechanics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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