Abstract
Introduction: Huge ovarian tumors can compromise respiratory functions in various ways leading to a challenging ventilation management. case report: We report a case of a young lady with a huge ovarian tumor (17 kg) posted for tumor resection, which was initially intubated and required high ventilator setting using airway pressure release ventilation (APrV) mode in the intensive care unit (IcU) for respiratory failure secondary to concomitant splinting of diaphragm, pleural effusion and pneumonia. Herein, we described our successful use of APrV extended into the intraoperative period of the tumor resection in order to maintain an adequate oxygenation and ventilation. As the operating room (Or) ventilator is not equipped with APrV as a mode of ventilation, there were several practical challenges we faced. Firstly, we had to transport the IcU ventilator to the Or with the patient. Due to the inability to deliver inhaled anesthetic while the patient was connected to the
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