Posterior Mediastinal Mass in a Neonate Causing Airway Compression: Perioperative Anesthetic Management

Posterior mediastinal masses by their location pose a risk of compression of heart, great vessels and airway. These risks are further exaggerated, with the use of neuromuscular relaxants and lateral positioning during anesthesia. We report a case of a 2.5 months old baby with posterior mediastinal m...

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Detalles Bibliográficos
Autores principales: Rastogi, Amit, Nasar, Nishat, Mandelia, Ankur, Singh, Tapas K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253014/
https://www.ncbi.nlm.nih.gov/pubmed/33884988
http://dx.doi.org/10.4103/aca.ACA_74_19
Descripción
Sumario:Posterior mediastinal masses by their location pose a risk of compression of heart, great vessels and airway. These risks are further exaggerated, with the use of neuromuscular relaxants and lateral positioning during anesthesia. We report a case of a 2.5 months old baby with posterior mediastinal mass causing compression of left bronchus and significant mediastinal shift with respiratory distress as a primary complaint. This posterior mediastinal Mass (PMM) was removed by right lateral thoracotomy without the initial use of neuromuscular blockade till the pleura was opened.

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