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Navigating Airway Obstruction during Resection of Anterior Mediastinal Mass: An Anaesthetic Perspective

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Bibliographic Details
Title: Navigating Airway Obstruction during Resection of Anterior Mediastinal Mass: An Anaesthetic Perspective
Authors: Chhaya Mahesh Suryawanshi, Jekha Mary Babu
Source: Journal of Clinical and Diagnostic Research, Vol 19, Iss 7, Pp UL03-UL04 (2025)
Publisher Information: JCDR Research and Publications, 2025.
Publication Year: 2025
Subject Terms: airway management, haemodynamic monitoring, superior vena cava syndrome, recruitment manoeuvre, Medicine, fiberoptic bronchoscopy
Description: An Anterior Mediastinal Mass (AMM) poses significant challenges for the anaesthesiologist due to its impact on surrounding mediastinal structures [1]. They can cause airway and circulatory compression under general anaesthesia, leading to dreaded complications [2]. Effective management of AMM resection requires understanding its relationship with cardiorespiratory structures, thorough preoperative evaluation and anticipation of intraoperative complications. Strategies such as awake fiberoptic intubation, spontaneous ventilation, judicious use of muscle relaxants, positional adjustments, access to rigid bronchoscopy and in severe cases, elective cardiopulmonary bypass if available, enhances a safer outcome. This case explores the anaesthetic management and complexities faced in managing the resection of a large AMM.
Document Type: Article
ISSN: 2249-782X
DOI: 10.7860/jcdr/2025/79501.21178
Access URL: https://doaj.org/article/b67ee7979b62486ab15be85df311fc7d
Rights: URL: https://www.jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=July&volume=19&issue=7&page=UL03-UL04&id=21178
Accession Number: edsair.doi.dedup.....b822d809b34e1a5d1d6c07435330bf08
Database: OpenAIRE
Description
Abstract:An Anterior Mediastinal Mass (AMM) poses significant challenges for the anaesthesiologist due to its impact on surrounding mediastinal structures [1]. They can cause airway and circulatory compression under general anaesthesia, leading to dreaded complications [2]. Effective management of AMM resection requires understanding its relationship with cardiorespiratory structures, thorough preoperative evaluation and anticipation of intraoperative complications. Strategies such as awake fiberoptic intubation, spontaneous ventilation, judicious use of muscle relaxants, positional adjustments, access to rigid bronchoscopy and in severe cases, elective cardiopulmonary bypass if available, enhances a safer outcome. This case explores the anaesthetic management and complexities faced in managing the resection of a large AMM.
ISSN:2249782X
DOI:10.7860/jcdr/2025/79501.21178