Perianesthesia management of chylothorax and severe obserity with sternotomy under general aneshesia and anemia: a case report

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Made Suandika, Rahmaya Nova Handayani, Tri Sumarni, Cindy Maharani, Dwi Darmawan Dani, Ahmad Sulaeman

2025 BIO Web of Conferences Vol. 152 Conference paper Cited by 0 Quartile

Abstract

Surgery with Chylothorax cases is increasingly common. Chylothorax can result in high morbidity and mortality. Effective perianesthesia measures are crucial for managing hemodynamic instability, including hypertension and anemia, and for selecting suitable anesthetic agents to ensure successful surgery. This case focuses on perianesthesia management in Chylothorax surgery involving Sternotomy, addressing issues of hypertension and anemia. The study results indicate that the patient experienced oxygen saturation decline and hemodynamic instability, necessitating adjustments in anesthetic administration. During the recovery phase, the patient required continued ventilatory support and ongoing monitoring due to prolonged effects of anesthetic drugs. In conclusion, anesthesia management in patients with chylothorax and severe obesity requires careful planning and coordination between the surgical and anesthesia teams to ensure respiratory and hemodynamic stability throughout the surgery. © The Authors, published by EDP Sciences.

Affiliations

The Graduate Institute of Clinical Medicine Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Anesthesia, Faculty of Health, Universitas Harapan Bangsa, Indonesia; School of Nursing, Faculty of Health, Universitas Harapan Bangsa, Indonesia

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