Anesthetic Management of Patient with Varicose Veins and Undiagnosed Brain Tumor

ABS TRACT Intraoperative hemodynamic perturbations are common due to the effects of anesthetic medications and techniques, surgical manipulations, and the patient's medical comorbidities. But Intraoperative intractable hypotension is very rare and serious in young healthy patients. The case of a 36 year old American Society of Anesthesiologists (ASA) risk class I patient who developed intractable hypotension during varicose vein operation was presented and discussed in association with the relevant literature. The adverse effects of transient foam embolism and / or due to the contribution of anesthesia to autonomic disorders secondary to the brain tumor may result in resistant hypotension in the patient. The magnitude of preoperative evaluation in anesthesia practice is indisputable, fine details during anamnesis should be taken into consideration.