“Manually Ventilating Test” in Anesthesia Management of Children with Massive Anterior Mediastinal Masses Requiring Tracheal Intubation.A case series

“manually ventilating test” in anesthesia management of children with massive anterior mediastinal masses requiring tracheal intubation.a case series

the risk of life-threatening complications during induction of anesthesia in patients with anterior mediastinal mass is well recognized. maintenance of spontaneous ventilation during anesthesia is an accepted standard goal in all published reports. however, the decision to paralyze the patient, which is really needed in most surgical procedures, is still a challenging event. in this study, “man...

The anaesthetic management of children with anterior mediastinal masses.

Children with anterior mediastinal masses may experience serious complications during general anaesthesia. We retrospectively surveyed the records of children with an anterior mediastinal mass who had been admitted to our hospital over a 7 year period. The presence of pre-operative symptoms or signs, findings of any special investigations performed and the anaesthetic outcome were noted. All ra...

Management of Neonatal Massive Anterior Mediastinal Teratoma

We report a challenging case of a newborn with a massive anterior mediastinal teratoma (MT), occupying nearly the right hemithorax, presenting at birth with life threatening respiratory distress (RD). Optimal approach and outcome was achieved with a coordinated, multidisciplinary approach.

anesthetic management of patients with anterior mediastinal masses undergoing chamberlain procedure (anterior mediastinostomy)

Anterior mediastinal masses and anesthesia in children: how far have we come along?

Anesthetic management of anterior mediastinal masses (AMM) is challenging. We describe the successful anesthetic management of two patients with AMM in which dexmedetomidine was used at supra-sedative doses. Our first case was a 41-year-old man who presented with a 10 9 9 9 11 cm AMM, a pericardial effusion, compression of the right atrium, and superior vena cava syndrome. He had severe obstruc...

Imaging of anterior mediastinal masses

Multiple different types of anterior mediastinal masses may be encountered on computed tomography (CT) imaging, and many of these lesions are neoplastic in etiology. These include masses arising from the thymus, thyroid and parathyroid glands, as well as lymph nodes, pericardium, and vessels and nerves. Often, the CT attenuation of the mass can be helpful in narrowing down the differential diag...