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.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Respiração
/
Biópsia
/
Analgesia Epidural
/
Estado de Consciência
/
Tosse
/
Cirurgia Torácica Vídeoassistida
/
Hemodinâmica
/
Anestesia
/
Anestesia Epidural
/
Lidocaína
Limite:
Humanos
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo
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