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
Anaesthesiajournal_title
Anaesthesiaauthors
Goh MH,Liu XY,Goh YSdoi
10.1046/j.1365-2044.1999.00961.xsubject
Has Abstractpub_date
1999-07-01 00:00:00pages
670-4issue
7eissn
0003-2409issn
1365-2044pii
ana961journal_volume
54pub_type
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