Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses
Joint Authors
Kafrouni, Hazem
Saroufim, Joelle
Abdel Massih, Myriam
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-04
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Patients suffering from undiagnosed obstruction of the central airways: the trachea and main stem bronchi are at increased risk for perioperative and postoperative complications, especially if general anesthesia is performed.
Case Description.
This report discusses a 30-year-old asymptomatic Caucasian female who faced recurrent distal airway collapse during mediastinoscopy for biopsy of an anterior mediastinal mass, which led to the inability to extubate her.
This case examines the necessity of a thorough preoperative assessment especially in patients with undiagnosed tracheal obstruction and a precise coordination between anesthesiologist and surgeon in being able to perform a safe and smooth anesthesia, in order to avoid life-threatening complications and to reduce further morbidity.
Methods.
The scope of this case report is restricted to publications in all surgical and anesthesiological specialties among adult patient population.
Main search key words were as follows: “tracheal obstruction,” “general anesthesia,” “mediastinum,” and “tumors” Results.
The literature supports an increased perioperative risk of airway obstruction with the use of general anesthesia in patients with anterior mediastinal masses.
This case report suggests a perioperative anesthetic management modality for patients presenting with anterior mediastinal masses and who are at high risk of cardiovascular compression and tracheal obstruction.
Thus, it is highly important to note that evidence-based recommendations are not available in the literature.
Conclusions.
This case report suggests perioperative management modalities performed by anesthesiologists in order to minimize the risk of airway obstruction among patients having anterior mediastinal masses and shed the lights on the importance of proper anesthetic and surgical planning in order to prevent intraoperative complications and improve the quality of healthcare provided to patients presenting critical cases.
American Psychological Association (APA)
Kafrouni, Hazem& Saroufim, Joelle& Abdel Massih, Myriam. 2018. Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses. Case Reports in Medicine،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1144921
Modern Language Association (MLA)
Kafrouni, Hazem…[et al.]. Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses. Case Reports in Medicine No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1144921
American Medical Association (AMA)
Kafrouni, Hazem& Saroufim, Joelle& Abdel Massih, Myriam. Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses. Case Reports in Medicine. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1144921
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144921