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Anaesthetic challenges for a patient with huge superior mediastinal mass in prone position

Yeap TB 1 , Teah MK 2 , Ramly AKM 3 , Bong CP 4

Affiliations 

  • 1 Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia boontat@ums.edu.my
  • 2 Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  • 3 Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia
  • 4 Department of Orthopaedic Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
BMJ Case Rep, 2021 Apr 09;14(4).
PMID: 33837036 DOI: 10.1136/bcr-2021-242118

Abstract

Anaesthesia for patients with huge mediastinal mass is very challenging due to the cardiorespiratory embarrassment that may occur. We present a patient with this condition, which was complicated by total airway obstruction, intraoperatively. We discuss the importance of patient positioning and the role of spontaneous ventilation.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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