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359740

Anaesthetic management of posterior mediastinal mass: a case report

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Last updated: 29 Dec 2024

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Abstract

Posterior mediastinal mass surgery is a challenge to the anaesthetist in terms of airway obstruction, compression of great vessels due to mass effect of tumour and severe cardiovascular and/or respiratory collapse. This may occur following decrease in chest wall tone associated with neuromuscular blockade. In this case study, we report an 8-year-old male child presented with a large posterior mediastinal mass, displacing and partially encasing the aorta at our institution, SMS Medical College & Hospitals, Jaipur, Rajasthan. Mass was removed by left thoracotomy; endotracheal tube was advanced into the right bronchus to ventilate the right lung to improve access in the surgical field because tumour was situated on the left side. While dissecting the mass, there was considerable blood loss. This was replaced with hydroxyethyl starch and whole blood. Patient was extubated next day with uneventful recovery.

DOI

10.4103/1687-9090.153413

Keywords

Airway Obstruction, endobronchial intubation, posterior mediastinal mass, shortness of breath, thoracotomy

Authors

First Name

Anjum

Last Name

Saiyed

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Orcid

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First Name

Reema

Last Name

Meena

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Orcid

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First Name

Babita

Last Name

Ambesh

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Orcid

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First Name

Indu

Last Name

Verma

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Volume

8

Article Issue

3

Related Issue

48402

Issue Date

2014-09-01

Receive Date

2014-09-07

Publish Date

2014-09-01

Print ISSN

1687-9090

Online ISSN

2090-326X

Link

https://ejca.journals.ekb.eg/article_359740.html

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https://ejca.journals.ekb.eg/service?article_code=359740

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359,740

Publication Type

Journal

Publication Title

The Egyptian Journal of Cardiothoracic Anesthesia

Publication Link

https://ejca.journals.ekb.eg/

MainTitle

Anaesthetic management of posterior mediastinal mass: a case report

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Article

Created At

20 Dec 2024