Anterior mediastinal masses: an anaesthetic challenge
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. Thiop...
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| Veröffentlicht in: | Anaesthesia 1999-07, Vol.54 (7), p.670-674 |
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| container_title | Anaesthesia |
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| creator | Goh, M. H. Liu, X. Y. Goh, Y. S. |
| description | 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. |
| doi_str_mv | 10.1046/j.1365-2044.1999.00961.x |
| format | Article |
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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.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1046/j.1365-2044.1999.00961.x</identifier><identifier>PMID: 10417460</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford: Blackwell Science Ltd</publisher><subject>Adult ; Airway Obstruction - etiology ; Airway; obstruction ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia, Endotracheal ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Bronchial Diseases - complications ; Constriction, Pathologic - complications ; Female ; Humans ; Lung; trachea, obstruction ; Mediastinal Neoplasms - complications ; Mediastinal Neoplasms - diagnostic imaging ; Mediastinoscopy ; Medical sciences ; Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. 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H.</creatorcontrib><creatorcontrib>Liu, X. Y.</creatorcontrib><creatorcontrib>Goh, Y. S.</creatorcontrib><title>Anterior mediastinal masses: an anaesthetic challenge</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>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.</description><subject>Adult</subject><subject>Airway Obstruction - etiology</subject><subject>Airway; obstruction</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia, Endotracheal</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Bronchial Diseases - complications</subject><subject>Constriction, Pathologic - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Lung; trachea, obstruction</subject><subject>Mediastinal Neoplasms - complications</subject><subject>Mediastinal Neoplasms - diagnostic imaging</subject><subject>Mediastinoscopy</subject><subject>Medical sciences</subject><subject>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</subject><subject>Surgery; mediastinoscopy</subject><subject>Tomography, X-Ray Computed</subject><subject>Tracheal Stenosis - complications</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFtLwzAUgIMobk7_gvRBfGvNSdI0EXwoY15g6Is-hzRNXUcvs-lw-_emdqiPwoFz4HznwodQADgCzPjNOgLK45BgxiKQUkYYSw7R7ghNfxrHaIoxpiFhWE7QmXNrjIEIEKdo4pdAwjieojhtetuVbRfUNi-168tGV0GtnbPuNtCND21dv7J9aQKz0lVlm3d7jk4KXTl7ccgz9Ha_eJ0_hsuXh6d5ugwNlQxCQWNJaYxzlmdWUgnaZBkjBOcySzDoQrA8BpppLgjLCmZZAoJmlHMjCSWaztD1uHfTtR9b_4eqS2dsVenGtlunuJTAJAUPihE0XetcZwu16cpad3sFWA3K1FoNZtRgRg3K1LcytfOjl4cb28w7-DM4OvLA1QHQzuiq6HRjSvfLiYSDIB67G7HPsrL7f99X6XO68BX9ArJxhVo</recordid><startdate>199907</startdate><enddate>199907</enddate><creator>Goh, M. H.</creator><creator>Liu, X. Y.</creator><creator>Goh, Y. S.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199907</creationdate><title>Anterior mediastinal masses: an anaesthetic challenge</title><author>Goh, M. H. ; Liu, X. Y. ; Goh, Y. S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3941-83593350d4dbe9391acbb4220d9b701af84d513ba6824bf4e47183b366c9232a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Airway Obstruction - etiology</topic><topic>Airway; obstruction</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia, Endotracheal</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Bronchial Diseases - complications</topic><topic>Constriction, Pathologic - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Lung; trachea, obstruction</topic><topic>Mediastinal Neoplasms - complications</topic><topic>Mediastinal Neoplasms - diagnostic imaging</topic><topic>Mediastinoscopy</topic><topic>Medical sciences</topic><topic>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</topic><topic>Surgery; mediastinoscopy</topic><topic>Tomography, X-Ray Computed</topic><topic>Tracheal Stenosis - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goh, M. H.</creatorcontrib><creatorcontrib>Liu, X. Y.</creatorcontrib><creatorcontrib>Goh, Y. S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goh, M. H.</au><au>Liu, X. Y.</au><au>Goh, Y. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior mediastinal masses: an anaesthetic challenge</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>1999-07</date><risdate>1999</risdate><volume>54</volume><issue>7</issue><spage>670</spage><epage>674</epage><pages>670-674</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><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.</abstract><cop>Oxford</cop><pub>Blackwell Science Ltd</pub><pmid>10417460</pmid><doi>10.1046/j.1365-2044.1999.00961.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Anaesthesia, 1999-07, Vol.54 (7), p.670-674 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Airway Obstruction - etiology Airway obstruction Anesthesia Anesthesia depending on type of surgery Anesthesia, Endotracheal Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Bronchial Diseases - complications Constriction, Pathologic - complications Female Humans Lung trachea, obstruction Mediastinal Neoplasms - complications Mediastinal Neoplasms - diagnostic imaging Mediastinoscopy Medical sciences Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics Surgery mediastinoscopy Tomography, X-Ray Computed Tracheal Stenosis - complications |
| title | Anterior mediastinal masses: an anaesthetic challenge |
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