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Case Reports
. 2020 Jan-Feb;70(1):69-71.
doi: 10.1016/j.bjan.2019.12.011. Epub 2020 Feb 19.

[Hemicorporectomy anesthesia: case report]

[Article in Portuguese]
Cynthia de Oliveira Rego  1 , Rose Betânia Feio Costa  1 , Bruno Mendes Carmona  2
Affiliations
Case Reports

[Hemicorporectomy anesthesia: case report]

[Article in Portuguese]
Cynthia de Oliveira Rego et al. Braz J Anesthesiol. 2020 Jan-Feb.

Abstract

Introduction: Hemicorporectomy progresses with hemodynamic and ventilatory repercussions that make anesthesia management definitive to patient outcome.

Objective: Report anesthesia approach for a patient with squamous cell carcinoma submitted to urgent hemicorporectomy after an episode of hypovolemic shock.

Case report: After lesion bleeding, the patient presented hypovolemic shock class 3, and was submitted to urgent procedure under general inhalation anesthesia and intravenous multimodal analgesia, presenting hemodynamic instability requiring massive blood transfusion after spinal cord transection and removal of surgical specimen.

Conclusion: Anesthetic management is essential in scenarios such as the one reported to assure patient survival.

Keywords: Amputation; Amputação; Choque hemorrágico; Complicações intraoperatórias; Hemorrhagic shock; Intraoperative complications.

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