Anaesthetic management of posterior mediastinal mass: a case report | ||||
| The Egyptian Journal of Cardiothoracic Anesthesia | ||||
| Volume 8, Issue 3, September 2014 PDF (441.28 K) | ||||
| DOI: 10.4103/1687-9090.153413 | ||||
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| Authors | ||||
| Anjum Saiyed; Reema Meena; Babita Ambesh; Indu Verma | ||||
| 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. | ||||
| Keywords | ||||
| Airway Obstruction; endobronchial intubation; posterior mediastinal mass; shortness of breath; thoracotomy | ||||
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