Open AccessPosterior mediastinal mass in a neonate causing airway compression: Perioperative anesthetic management
Author(s) -
Amit Rastogi,
Nishat Nasar,
Ankur Mandelia,
Tapas Kumar Singh
Publication year - 2021
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_74_19
Subject(s) - medicine , mediastinal mass , thoracotomy , anesthesia , airway , perioperative , neuromuscular blockade , surgery , airway management , mediastinal shift , lung
Posterior mediastinal masses by their location pose a risk of compression of heart, great vessels and airway. These risks are further exaggerated, with the use of neuromuscular relaxants and lateral positioning during anesthesia. We report a case of a 2.5 months old baby with posterior mediastinal mass causing compression of left bronchus and significant mediastinal shift with respiratory distress as a primary complaint. This posterior mediastinal Mass (PMM) was removed by right lateral thoracotomy without the initial use of neuromuscular blockade till the pleura was opened.