Difference between revisions of "Mediastinal mass"

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The mediastinal mass is one of the most challenging entities for anesthesiologists as induction of general anesthesia can precipitate cardiopulmonary collapse that is difficult to reverse. Most evidence and case reports describe anesthetic management of the mediastinal mass in the pediatric population, but adults are presenting with these masses - often of a different etiology - more frequently. Recognizing the signs and symptoms of cardiac, vascular and pulmonary compression associated with these masses is integral to forming the safest possible anesthetic plan.  
The mediastinal mass is one of the most challenging entities for anesthesiologists as induction of general anesthesia can precipitate cardiopulmonary collapse that is difficult to reverse. Most evidence and case reports describe anesthetic management of the mediastinal mass in the pediatric population, but adults are presenting with these masses - often of a different etiology - more frequently. Recognizing the signs and symptoms of cardiac, vascular and pulmonary compression associated with these masses is integral to forming the safest possible anesthetic plan.  

Latest revision as of 15:28, 23 December 2024

[Please click here for anesthetic plan for Mediastinal tumor resection]

The mediastinal mass is one of the most challenging entities for anesthesiologists as induction of general anesthesia can precipitate cardiopulmonary collapse that is difficult to reverse. Most evidence and case reports describe anesthetic management of the mediastinal mass in the pediatric population, but adults are presenting with these masses - often of a different etiology - more frequently. Recognizing the signs and symptoms of cardiac, vascular and pulmonary compression associated with these masses is integral to forming the safest possible anesthetic plan.

Mediastinal mass
Anesthetic relevance

High

Anesthetic management

Classic teaching is to maintain spontaneous ventilation under general anesthesia however this is not always possible. Goal is to minimize compression of airways and/or heart and great vessels.

Specialty

Thoracic

Signs and symptoms

Dyspnea, tripod position, respiratory failure, chest pain

Diagnosis

CT

Treatment
Article quality
Editor rating
Unrated
User likes
0

Anesthetic implications

Preoperative optimization

Intraoperative management

Postoperative management

Related surgical procedures

Pathophysiology

Signs and symptoms

Diagnosis

Treatment

Medication

Surgery

Prognosis

Epidemiology

References