Sarcomas are malignant tumors developing from mesenchymal cell lineages. The most
common soft tissue sarcoma and prevalent retroperitoneal sarcoma is liposarcomas. As this
was a major surgery, in view of anticipated blood loss, need for vasoactive medication, a
central venous catheter was secured, epidural catheter was placed. Patient was induced as
per the standard anaesthesia protocol and maintained on O2, N2O and Isoflurane. An arterial
line was placed. A low dose Noradrenaline infusion was started. Intraoperatively 2 pints of
PRBC was transfused, patient was shifted to ICU for elective ventilation. Regular epidural
top ups were given for post operative analgesia. Patient was reposted for total thyroidectomy
and neck dissection after 15 days and the main concerns of this surgery were the vascularity
of tumour and post operative development of tracheomalacia. Utmost care was taken for fluid
management and blood loss for the case and patient was checked for vocal cord movements
to confirm the absence of recurrent laryngeal nerve injury and tracheomalacia. The anaesthetic
management was handled successfully without any complications.