Anesthetic management of 55 children with anterior mediastinal tumors / 上海交通大学学报（医学版）

ABSTRACT

Objective • To summarize the anesthetic management of surgical treatment for children with anterior mediastinal tumors. Methods • The anesthetic management data of 55 children with anterior mediastinal tumors were retrospectively analyzed. Children with mediastinal tumors were divided into safe group (n=22), uncertain group (n=19) and unsafe group (n=14) according to the general anesthesia risk classification table, and different anesthesia strategies were given according to different grades. General data, standardized tumor volume (STV), adverse events related to tumors and extubation time were recorded. Results • The general data of safe group, uncertain group and unsafe group had no statistical difference (P>0.05). There were significant differences in STV and extubation time after operation among the three groups (P<0.05). Adverse events related to tumors occurred in the maintenance stage of anesthesia in three groups, and the operation was completed safely after timely treatment. Conclusion • It is conducive to the management of anesthesia combined with the risk classification of general anesthesia in children with mediastinal tumors. The vital signs should be closely monitored during anesthesia, and adverse events should be detected and handled in time to avoid catastrophic events.