Anaesthetic management of two different cases of mediastinal mass

We report the management of two paediatric cases undergoing median sternotomy and right lateral thoracotomy for mediastinal mass. An 8-year-old boy presented with a history of intermittent fever and episodes of respiratory illness since 3 years and a 16-year-old girl presented with dyspnoea, cough,...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2013-11, Vol.57 (6), p.606-609, Article 606
Main Authors: Subbanna, Hemalatha, Viswanathan, Poola N, Puttaswamy, Manjula B, Andini, Ashwini, Thimmegowda, Tulsi, Bhagirath, Sondekoppa N
Format: Article
Language:English
Subjects:
Airway obstruction
Anesthesia
Cardiac arrhythmia
Care and treatment
Case Report
Case studies
Compression therapy
general anaesthesia
Intubation
lateral thoracotomy
median sternotomy
mediastinal mass
Mediastinal tumors
NMR
Nuclear magnetic resonance
Ostomy
Pain
Pediatrics
Surgery
Tumors
Veins & arteries
Ventilation
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Summary:We report the management of two paediatric cases undergoing median sternotomy and right lateral thoracotomy for mediastinal mass. An 8-year-old boy presented with a history of intermittent fever and episodes of respiratory illness since 3 years and a 16-year-old girl presented with dyspnoea, cough, fever and dysphagia for solid foods. Radiological investigation confirmed the diagnoses. Absence of pressure symptoms pointed towards a compressible mass in the boy and indicated a non-compressible mass in the girl. We discuss the anaesthetic management of the younger patient with an uneventful course as opposed to the older patient where airway obstruction ensued soon after induction and led to near-cardiopulmonary arrest necessitating rescue measures. Swift measures at securing airway while simultaneously resuscitating the patient served to successfully revert an otherwise fateful eventuality.
ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.123337