Ventilation through placing the endotracheal tube passed down beyond the obstruction during general anesthesia in patient with mediastinal mass

Dong-soo Han; Sue Youn  Park; Youngwook You; Jeeyun Rhee; Dae Hoon Kim; Seongtae Jeong

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자료유형: 학술저널

저자정보: Dong-soo Han (Department of Anesthesiology and Pain Medicine Chonnam National University Medical School Gwangju K) Sue Youn Park (Department of Anesthesiology and Pain Medicine Chonnam National University Medical School Gwangju K) Youngwook You (Department of Anesthesiology and Pain Medicine Chonnam National University Medical School Gwangju K) Jeeyun Rhee (Department of Anesthesiology and Pain Medicine Chonnam National University Medical School Gwangju K) Dae Hoon Kim (Department of Anesthesiology and Pain Medicine Chonnam National University Medical School Gwangju K) Seongtae Jeong (Department of Anesthesiology and Pain Medicine Chonnam National University Medical School Gwangju K)

저널정보: 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.2 No.1

발행연도: 2019.1

수록면: 17 - 21 (5page)

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Most common and featured complication in anesthetized patient with mediastinal mass is tracheobronchial compression distal to endotracheal tube. Because of reduced lung volume, relaxation of bronchial smooth muscle and eliminated diaphragm movement, general anesthesia exacerbate extrinsic intrathoracic airway compression. Once trachea or bronchus is collapsed, it is usually known to impossible to pass an endotracheal tube through compressed airway forcibly. However, if ventilation proves difficult, an attempt should be made to pass the endotracheal tube down the least obstructed portion and some cases reporting successful ventilation through placing endotracheal tube passed further down beyond the obstruction even after neuromuscular blockade. We describe the anesthesia experience that placing the endotracheal tube passed beyond the obstruction using fiberoptic bronchoscope in child with total tracheal obstruction after induction of general anesthesia.

#Mediastinal mass #General anesthesia #Airway #Obstruction

참고문헌 (12)

참고문헌 신청

Goh MH / 1999 / Anterior mediastinal masses: an anaesthetic challenge / Anaesthesia 54:670~674

이용철 / 2012 / Airway obstruction after biopsy by cervical mediastinoscopy in a patient with a mediastinal mass -A case report- / Korean Journal of Anesthesiology 63(1):65~67

Northrip DR / 1986 / Total airway occlusion and superior vena cava syndrome in a child with an anterior mediastinal tumor / Anesth Analg 65:1079~1082

Neuman GG / 1984 / The anesthetic management of the patient with an anterior mediastinal mass / Anesthesiology 60:144~147

Chaudhary K / 2012 / Anesthetic management of superior vena cava syndrome due to anterior mediastinal mass / J Anaesthesiol Clin Pharmacol 28:242~246

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