Acute Airway Obstruction During an Interventional Radiology Procedure in a Patient With a Mediastinal Mass. Case Report

Bautista, John; Suarez, Oscar; García-Herreros, Plutarco; Valero-Bernal, Francisco

doi:10.1016/s2256-2087(12)70032-9

Cited by 1 publication

(1 citation statement)

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“…The use of cardiopulmonary bypass (CPB) in managing mediastinal masses has been a subject of controversy [9,[34][35][36]. The feasibility of performing CPB cannulation quickly in a patient experiencing severe cardiorespiratory compromise, particularly in non-supine positions such as the lateral position for thoracic surgery, has raised concerns.…”

Section: Role Of Cardiopulmonary Bypassmentioning

confidence: 99%

Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review

Leivaditis,

Pavlakou,

Grapatsas

et al. 2024

kitp

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The perioperative management of patients undergoing mediastinal mass operations presents a persistent challenge across multiple clinical specialties. General anesthesia administration further increases the risk of perioperative cardiorespiratory decompensation. The interdisciplinary team plays a crucial role in ensuring a safe perioperative period. However, due to the rarity and variability of mediastinal mass syndromes, specific management protocols are lacking. This review aims to outline the multitude of challenges and pitfalls encountered during perioperative management in patients with the mediastinal mass syndrome. We describe diagnostic evaluation, preoperative optimization, intraoperative considerations, and postoperative care strategies, emphasizing the paramount significance of a multidisciplinary approach and personalized treatment plans. Preoperative multidisciplinary discussions, meticulous anesthetic management, and well-established protocols for emergency situations are pivotal to ensuring patient safety. Healthcare providers involved in the care of patients with mediastinal mass syndrome must grasp these challenges and pitfalls, enabling them to deliver safe and effective perioperative management.

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Section: Role Of Cardiopulmonary Bypassmentioning

confidence: 99%