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  • Case of ZS

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    Jean Camille Lazo Mendoza
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    A 49-year-old overweight woman underwent a preoperative stenting procedure, exploratory laparotomy, total abdominal hysterectomy, bilateral salpingectomy, left oophorectomy, and adhesiolysis under combined spinal-epidural anesthesia for diagnoses including abnormal uterine bleeding and a previous endometrial cyst removal. She experienced significant hypotension lasting over 15 minutes intraoperatively that was treated with intravenous fluids and medications.

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    A 49-year-old overweight woman underwent a preoperative stenting procedure, exploratory laparotomy, total abdominal hysterectomy, bilateral salpingectomy, left oophorectomy, and adhesiolysis under combined spinal-epidural anesthesia for diagnoses including abnormal uterine bleeding and a previous endometrial cyst removal. She experienced significant hypotension lasting over 15 minutes intraoperatively that was treated with intravenous fluids and medications.

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    © All Rights Reserved
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    0 views1 page

    Case of ZS

    Uploaded by

    Jean Camille Lazo Mendoza
    A 49-year-old overweight woman underwent a preoperative stenting procedure, exploratory laparotomy, total abdominal hysterectomy, bilateral salpingectomy, left oophorectomy, and adhesiolysis under combined spinal-epidural anesthesia for diagnoses including abnormal uterine bleeding and a previous endometrial cyst removal. She experienced significant hypotension lasting over 15 minutes intraoperatively that was treated with intravenous fluids and medications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 1

    PreOperative Stenting, Bilateral + Exploratory Laparotomy +

    Total Abdominal Hysterectomy Bilateral Salpingectomy +


    Oophorectomy, Left + Adhesiolysis under CLEA
    49/F PreMeds: Midazolam 1mg
    X-CLEA: L3-L4 IVS, Touhy needle G.18 (+) LORTA, Epidural Catheter
    Ht: 157 cm threaded with 6 cm inside, secured
    Wt: 64 kg IntraOpMeds: Tranexamic Acid 1 gram, Paracetamol 1 gram
    BMI: 25.96 (Overweight) PostOpMeds: Ketorolac 30 mg IV ()ANTD Q6 x 4 doses,
    IsobaricBupivacaine 0.125% + MoSO4 0.02% in 10 cc via EC Q12 x 4
    ASA: II (Overweight, Anemia) doses, Celecoxib 200 mg/cap 1 cap BID x 5 days once on clear fluids
    MAL: 1 Events: Significant Hypotension (>15 minutes)

    Allergies: None
    INPUT OUTPUT
    Dx: Nulligravid; Abnormal Uterine Bleeding-L1; PLR + PNSS 1,800 UO 210
    Endometrial Cyst, Left S/P Oophorectomy, Right
    (PGH, 2016) HES 500 Blood 1,400
    Blood 840

    +388

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