A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum

The anesthetic management of patients with a mediastinal mass represent a challenge due to the potential for difficult ventilation and intubation, as well as the risk of cardiovascular collapse upon induction of general anesthesia. Different strategies and alternatives have been described. We presen...

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Autores principales: Landa, Andres Bacigalupo, Krishnamurthy, Kritika, Goldman, Howard S.
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/PMC8404602/
https://www.ncbi.nlm.nih.gov/pubmed/34269275
http://dx.doi.org/10.4103/aca.ACA_122_20
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author Landa, Andres Bacigalupo
Krishnamurthy, Kritika
Goldman, Howard S.
author_facet Landa, Andres Bacigalupo
Krishnamurthy, Kritika
Goldman, Howard S.
author_sort Landa, Andres Bacigalupo
collection PubMed
description The anesthetic management of patients with a mediastinal mass represent a challenge due to the potential for difficult ventilation and intubation, as well as the risk of cardiovascular collapse upon induction of general anesthesia. Different strategies and alternatives have been described. We present the case of a 70-year-old man with a right para-tracheal mass extending into the anterior mediastinum with 90% mid-tracheal lumen obstruction who was successfully managed with venous-venous extra-corporeal membrane oxygenation (ECMO) during mass debulking and tracheal stent placement.
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spelling pubmed-84046022021-09-07 A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum Landa, Andres Bacigalupo Krishnamurthy, Kritika Goldman, Howard S. Ann Card Anaesth Case Report The anesthetic management of patients with a mediastinal mass represent a challenge due to the potential for difficult ventilation and intubation, as well as the risk of cardiovascular collapse upon induction of general anesthesia. Different strategies and alternatives have been described. We present the case of a 70-year-old man with a right para-tracheal mass extending into the anterior mediastinum with 90% mid-tracheal lumen obstruction who was successfully managed with venous-venous extra-corporeal membrane oxygenation (ECMO) during mass debulking and tracheal stent placement. Wolters Kluwer - Medknow 2021 2021-07-09 /pmc/articles/PMC8404602/ /pubmed/34269275 http://dx.doi.org/10.4103/aca.ACA_122_20 Text en Copyright: © 2021 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Landa, Andres Bacigalupo
Krishnamurthy, Kritika
Goldman, Howard S.
A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum
title A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum
title_full A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum
title_fullStr A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum
title_full_unstemmed A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum
title_short A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum
title_sort right para-tracheal mass extending into the anterior mediastinum: an anesthetic management conundrum
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404602/
https://www.ncbi.nlm.nih.gov/pubmed/34269275
http://dx.doi.org/10.4103/aca.ACA_122_20
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