Anterior mediastinal masses: an anaesthetic challenge.

Abstract:

:A patient with a large anterior mediastinal mass with minimal respiratory symptoms presented for a diagnostic biopsy of the mass. A pre-operative thoracic computed tomographic scan demonstrated narrowing of the distal trachea, and right and left main stem bronchi. An awake intubation was done. Thiopentone and muscle relaxant were given and surgery commenced. High airway pressure developed and ventilation became difficult, although oxygenation remained satisfactory throughout. Anaesthetic implications are discussed. We recommend that patients with more than 50% obstruction of the airway at the level of the lower trachea and main bronchi have their femoral vessels cannulated in readiness for cardiopulmonary bypass.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Goh MH,Liu XY,Goh YS

doi

10.1046/j.1365-2044.1999.00961.x

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

670-4

issue

7

eissn

0003-2409

issn

1365-2044

pii

ana961

journal_volume

54

pub_type

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