Non-intubated video-assisted thoracoscopic biopsy surgery of a large anterior mediastinal mass via epidural anesthesia: A case report
Anesthesia and Pain Medicine
;
: 256-260, 2017.
Article
Dans Anglais
| WPRIM
| ID: wpr-145721
ABSTRACT
Anesthesia for a patient with a large mediastinal mass is a challenge for anesthesiologists, given the risk of airway collapse and hemodynamic compromise. Moreover, there are very few reports on the anesthetic management of non-intubated video-assisted thoracoscopic surgery (VATS). Thus, in the following case report, we provide an account of the successful anesthetic management and excisional biopsy of a large anterior mediastinal mass (measuring 13 × 10 cm) utilizing non-intubated VATS. The patient was kept awake, maintaining consciousness and spontaneous respiration throughout the procedure, in order to prevent devastating airway collapse and pain control and cough prevention were achieved by thoracic epidural analgesia and lidocaine nebulization.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Respiration
/
Biopsie
/
Analgésie péridurale
/
Conscience
/
Toux
/
Chirurgie thoracique vidéoassistée
/
Hémodynamique
/
Anesthésie
/
Anesthésie péridurale
/
Lidocaïne
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Anesthesia and Pain Medicine
Année:
2017
Type:
Article
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