Giant anterior mediastinal mass anesthesia management
Main Article Content
Abstract
Difficulty in anesthesia management for patients suffered from giant anterior mediastinal mass has been described in the medical literature since 1969. Giant anterior mediastinal masses are not common in anesthesia practice. However, as one of the biggest hospitals in the north of Vietnam and the largest military hospital, we occasionally have to face with these challenged cases. Anesthesia managements for this difficult scenario is not only in the operation theatre when performing definitive treatment but also out of theatre when we need to perform diagnostic imaging or biopsy. Understanding the pathophysical changes during anesthesia is essential cause it can be associated with important cardiovascular and respiratory collapses which can lead to death of the patients.
Keywords: Giant anterior mediastinal mass, anesthesia management.
Article Details
References
2. Pullerits J, Holzman R (1989) Anaesthesia for patients with mediastinal masses. Can J Anaesth 36(6): 681-688.
3. Kanellakos GW (2012) Perioperative management of the pregnant patient with an anterior mediastinal mass. Anesthesiol Clin. 30(4): 749-758.
4. Dalar L, Eryüksel E, Koşar F, Karasulu AL, Urer N, Sökücü SN, Altın S (2012) Central airway obstruction due to malignant fibrous histiocytoma metastasis in a case with Mounier-Kuhn syndrome. Tuberk Toraks 60(2): 167-171.
5. Li WW, van Boven WJ, Annema, Eberl S, Klomp HM, de Mol BA (2016) Management of large mediastinal masses: surgical and anesthesiological considerations. J Thorac Dis 8(3): 175-184.
6. Narang S, Harte BH, Body SC (2001) Anesthesia for patients with a mediastinal mass. Anesthesiol Clin North America 19(3): 559-579.
7. Valladares Otero G1, Pérez Ferrer A, Gredilla Diaz E, de Vicente Sánchez J (2006) Perioperative respiratory complications in pediatric patients with mediastinal masses: a report of 2 cases. Rev Esp Anestesiol Reanim 53(10): 657-660.
8. Ul Huda A, Siddiqui KM, Khan FH (2007) Emergency airway management of a patient with mediastinal mass. J Pak Med Assoc 57(3): 152-154.
9. Monteiro R, Alfaro TM, Correia L, Simão A, Robalo Cordeiro C, Carvalho A, Costa JM (2011) Mediastinal masses: Case series. Acta Med Port 24(6): 899-904.