Available reports suggest that an
anterior mediastinal mass causing more than 50% narrowing of the trachea and
compressing the great vessels can cause further narrowing of the airway and cardiovascularcollapse after the administration of muscle relaxants.
Accordingly, inhalation
induction of general anesthesia or awake intubation is used to avoid the use of
muscle relaxation.
The following two case reports
describe the stepwise safe anesthetic induction of two patients with anterior
mediastinal masses using total intravenous anesthesia followed by tailored
positive pressure ventilation and administration of muscle relaxant.(Read more)
No comments:
Post a Comment