Anaesthesia for mediastinoscopy
نویسنده
چکیده
Mediastinoscopy is a diagnostic procedure, which was first described by Carlens in 1959. Despite the availability of sophisticated imaging techniques (e.g. positron emission tomography), mediastinoscopy remains essential in the staging of lung cancer because of its high sensitivity (.80%) and specificity (100%). Other indications for mediastinoscopy include biopsy of mediastinal masses especially where other investigations, for example CT-guided biopsy have been inconclusive and establishing a diagnosis in diseases presenting with mediastinal lymphadenopathy (e.g. sarcoidosis, lymphoma).
منابع مشابه
Are frozen sections of mediastinoscopy samples as effective as formal paraffin assessment of mediastinoscopy samples for a decision on a combined mediastinoscopy plus lobectomy?
A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was 'Are frozen sections of mediastinoscopy samples as effective as formal paraffin assessment of mediastinoscopy samples for a decision on a same-day lobectomy?'. Five papers were found using the reported search that represented the best evidence to answer the clinical questio...
متن کاملTransesophageal Endoscopic Ultrasound-Guided Biopsy of Lesions in the Mediastinum: A Minimal Invasive Method for Primary Diagnosis of Unknown Mediastinal Lesions and Staging of Lung Cancer
Diagnosis of indeterminate mediastinal masses and staging of lung cancer poses a significant challenge. Transesophageal endoscopic ultrasound scanning (EUS) provides high resolution imaging of the mediastinum and offers the facility of fine needle aspiration or tru-cut biopsy under real-time ultrasound guidance. Accurate diagnosis of nodal involvement in lung cancer is pivotal to avoid unnecess...
متن کاملReversible cerebellar signs due to sarcoid-related severe hypercalcaemia.
1. Severe and symptomatic hypercalcaemia can occur in sarcoidosis but remains uncommon, <5% of cases (malignancy should remain top of the list in unexplained cases). If rehydration and steroids are unsuccessful, other options are ketoconazole and chloroquine in this context. 2. It is imperative to know the serum calcium level (amongst other electrolytes) in patients with abnormal mentation and ...
متن کاملEvaluation of several drug combinations for intraperitoneal anaesthesia in adult male rats
The objective of this study was to evaluate several drug combinations for intraperitoneal anaesthesia in laboratory rats. Following dose determination of anaesthetics in a pilot study, 45 healthy adult male rats were randomly assigned in 9 treatment groups and received propofol (alone or in combination with xylazine, midazolam, or ketamine) or ketamine (in combination with xylazine, midazolam, ...
متن کاملRepeat mediastinoscopy in the staging of lung cancer.
OBJECTIVE Despite technical difficulties due to mediastinal fibrosis, repeat mediastinoscopy can be a valuable tool in the restaging of lung cancer. It provides essential pathological information on mediastinal invasion when selecting patients for surgical resection after induction chemotherapy in stage IIIa disease. The aim of our study was to evaluate the feasibility, sensitivity and accuracy...
متن کامل