A 45 year-old @entity1 underwent a laparotomy for @entity43 under general anesthesia. Preoperative CT scan revealed a 30 cm-diameter @entity5 compressing IVC. She had slight respiratory discomfort on supine position, but respiratory function test showed no abnormalities. In the operating room, after oxygenation for 3 minutes, general anesthesia was induced with @entity3575 100  g, @entity1875 90 mg and @entity2898 40 mg on supine position. Immediately after the induction, her systolic blood pressure and heart rate fell to 45 mmHg and 40 beats per minute, respectively. We considered that her hemodynamic instability was @entity551 due @entity43 . Therefore we placed her 30 degree right side up and pushed her @entity5 to the left so as not to compress the IVC. We rapidly injected acetated Ringer's solution 500 ml, @entity6358 12 mg and @entity2647 0.1 mg, and her hemodynamic status soon recovered to normal ranges. The anesthetic induction of a @entity1 with @entity43 is challenging. Some reports recommend strategies such as induction on lateral position or suctioning @entity5 contents before induction. Careful induction of general anesthesia is required for these @entity1 .

[Anesthetic Induction in a XXXX with Giant @entity43 Who Developed Severe Hemodynamic Instability].

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity43 :: ('MESH:D010051', 'Disease') :: ['a giant ovarian tumor', 'to giant ovarian tumor'] @entity6358 :: ('MESH:D004809', 'Chemical') :: ['ephedrine'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity2647 :: ('MESH:D010656', 'Chemical') :: ['phenylephrine'] @entity1875 :: ('MESH:D015742', 'Chemical') :: ['propofol'] @entity2898 :: ('MESH:C061870', 'Chemical') :: ['rocuronium'] @entity551 :: ('MESH:D007022', 'Disease') :: ['supine hypotensive syndrome'] @entity3575 :: ('MESH:D005283', 'Chemical') :: ['fentanyl']
@entity1 :: (9606,Species) :: ['Patient']
