Other
https://doi.org/10.20471/acc.2016.55.s1.16
Anesthetic Management of a Patient with Central Airway Compression Due to Posterior Mediastinal Mass
Nina Sulen
; Department of Anesthesiology and Intensive Care Medicine, Zadar General Hospital, Zadar, Croatia
Barbara Petani
; Department of Anesthesiology and Intensive Care Medicine, Zadar General Hospital, Zadar, Croatia
Ivan Bačić
; Department of Surgery, Zadar General Hospital, Zadar, Croatia
Domagoj Morović
; Department of Surgery, Zadar General Hospital, Zadar, Croatia
Abstract
Patients with mediastinal masses present unique challenge to anesthesiologists. Patients with anterior mediastinal masses have well documented cases of respiratory or cardiovascular collapse during anesthesia and in postoperative period. Masses in the posterior mediastinum have been traditionally regarded to carry a significantly lower risk of anesthesia related complications but cases of near fatal cardiorespiratory complications have been reported. We describe anesthetic management of a patient with posterior mediastinal mass compressing the trachea and the left main bronchus presented for left thoracotomy and tumor excision. The patient experienced pain and cough, and exhibited positional dyspnea. Airway was successfully secured with awake nasotracheal intubation and placement of single lumen endobronchial tube.
Keywords
Mediastinal Neoplasms – Complications; Airway Obstruction; Airway Management; Bronchoscopy; Case Reports
Hrčak ID:
155060
URI
Publication date:
1.3.2016.
Visits: 2.014 *