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Management of mediastinal syndromes in pediatrics: a new challenge of ultrasound guidance to avoid high‐risk general anesthesia
Author(s) -
Sola Chrystelle,
Choquet Olivier,
Prodhomme Olivier,
Capdevila Xavier,
Dadure Christophe
Publication year - 2014
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.12300
Subject(s) - medicine , sedation , adverse effect , airway , anesthetic , ultrasonography , anesthesia , surgery
Summary Adverse events associated with anesthetic management of anterior mediastinal masses in pediatrics are common. To avoid an extremely hazardous general anesthesia, the use of real‐time ultrasonography offers an effective alternative in high‐risk cases. We report the anesthetic management including a light sedation and ultrasound guidance for regional anesthesia, surgical node biopsy, and placement of a central venous line in two children with an anterior symptomatic mediastinal mass. For pediatric patients with clinical and/or radiologic signs of airway compression, ultrasound guidance provides safety technical assistance to avoid general anesthesia and should be performed for the initial diagnostic and therapeutic procedures.