Even mild hypothermia (<1 degree C) significantly increases blood loss by approximately 16% (4-26%) and increases the relative risk for transfusion by approximately 22% (3-37%). Maintaining perioperative normothermia reduces blood loss and transfusion requirement by clinically important amounts.

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Summary Background For a procedure‐driven specialty such as anaesthesiology, hands‐on training has always been the primary method of teaching airway skills. Although this method will always be a necessary component, the current generation of learners tend to gravitate toward media as educational sources. We propose that the addition of watching a series of podcast videos on airway management will further enhance the medical student's procedural skills. Methods A total of 34 medical students scheduled for an anaesthesia rotation were randomised into two groups. Both groups received the conventional one‐to‐one hands‐on training on airway skills in the operating room; however, the study group received an additional series of podcast videos on airway equipment, mask ventilation and intubation. At the end of the rotation, all of the students were given an objective structured clinical examination (OSCE) on a mannequin. Results The study group who received the podcasts significantly out‐performed the control group on the OSCE (p = 0.003). The mean score for the podcast video group was 94.4%, versus 76.5% in the control group. Commonly missed steps by the control group included checking the endotracheal tube balloon before intubation, taping the eyes and auscultation of the epigastrium and lungs. Discussion Our results showed that supplementing conventional hands‐on training with contemporary channels such as podcast videos improved learners’ procedural skills. The media format was relatable for these modern learners and provided the added benefit of self‐paced learning. Overall, the podcast videos made a positive contribution to students learning airway techniques.

the manuscript, references should be cited using Arabic numbers in parentheses. The reference styles for different types of publications are presented in the following examples.

The anesthetic management of patients with large mediastinal masses can be complicated due to the pressure effects of the mass on the airway or major vessels. We present the successful anesthetic management of a 64-year-old female with a large mediastinal mass that encroached on the great vessels and compressed the trachea. A tracheal stent was placed to relieve the tracheal compression under general anesthesia. Spontaneous ventilation was maintained during the perioperative period with the use of a classic laryngeal mask airway. We discuss the utility of laryngeal mask airway for anesthetic management of tracheal stenting in patients with mediastinal masses.

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Como citar este artigo: Rajagopalan S, et al. Manejo anestésico de grande massa mediastinal para a colocação de stent traqueal. Rev Bras Anestesiol. 2014. http://dx.Recebido em 23 de dezembro de 2013; aceito em 15 de janeiro de 2014 PALAVRAS-CHAVE Anestesia; Doenças do Mediastino; Máscaras Laríngeas; StentsResumo O manejo anestésico de pacientes com grandes massas situadas no mediastino pode ser complicado por causa dos efeitos da pressão da massa sobre as vias aéreas ou grandes vasos. Relatamos o manejo anestésico bem-sucedido de uma paciente de 64 anos com uma grande massa mediastinal que invadiu os grandes vasos e comprimiu a traqueia. Um stent traqueal foi colocado para aliviar a compressão da traqueia, sob anestesia geral. A ventilação espontânea foi mantida durante o período perioperatório com o uso de uma máscara laríngea clássica. Discutimos a utilidade da máscara laríngea para o manejo da colocação de stent traqueal em pacientes com massas situadas no mediastino. Anesthetic management of a large mediastinal mass for tracheal stent placementAbstract The anesthetic management of patients with large mediastinal masses can be complicated due to the pressure effects of the mass on the airway or major vessels. We present the successful anesthetic management of a 64-year-old female with a large mediastinal mass that encroached on the great vessels and compressed the trachea. A tracheal stent was placed to relieve the tracheal compression under general anesthesia. Spontaneous ventilation was maintained during the perioperative period with the use of a classic laryngeal mask airway. We discuss the utility of laryngeal mask airway for anesthetic management of tracheal stenting in patients with mediastinal masses. (S. Rajagopalan). IntroduçãoOs tumores do mediastino, grandes o suficiente para causar compressão das vias aéreas ou grandes vasos, representam