keyword
https://read.qxmd.com/read/36207849/-analysis-of-42-cases-of-childhood-superior-vena-cava-syndrome-associated-with-mediastinal-malignancy
#21
JOURNAL ARTICLE
Q S Yang, Y L Han, J Y Cai, S Gu, J Bai, H Ren, M Xu, J Zhang, A A Zhang, M Su, C Pan, Y Wang, J Y Tang, Y J Gao
Objective: To summarize the clinical features, management and outcome of superior vena cava syndrome (SVCS) associated with mediastinal malignancy in children. Methods: Clinical data of 42 children of SVSC associated with mediastinal malignancy in Shanghai Children's Medical Center from January 2015 to December 2021 were collected and analyzed retrospectively. The clinical manifestations, pathological diagnosis, disease diagnosis process, and prognosis were summarized. Results: Among 42 children of SVCS associated with mediastinal malignancy, there were 31 males and 11 females...
October 2, 2022: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/36164358/giant-mediastinal-teratoma-in-a-young-infant-a-case-report
#22
Raelina S Howell, Margret S Magid, Keith A Kuenzler, T K Susheel Kumar
Background: Giant mediastinal tumors in the pediatric population can pose unique challenges for resection such as cardiovascular collapse on induction of anesthesia and injury to surrounding structures that may be compressed, displaced, or invaded by the mass. Principles that must be borne in mind during removal of giant mediastinal masses include: appropriate cross-sectional imaging to define extent of mass; airway control during induction of anesthesia; a multidisciplinary collaborative approach including cardiothoracic surgery; preparation for urgent sternotomy; plan for peripheral cannulation to institute cardiopulmonary bypass if needed; preservation of neurovasculature structures during dissection; complete resection whenever possible...
2022: Mediastinum
https://read.qxmd.com/read/36017089/case-report-reducing-the-duration-of-positive-pressure-ventilation-for-large-mediastinal-masses
#23
Zaili Zhang, Meiru Jiang, Xijia Sun, Wenfei Tan
Large mediastinal masses (MMs) are rare and present some challenges in hemodynamic and airway management under general anesthesia. Multiple studies have reported cardiopulmonary collapse during general anesthesia. Maintenance of spontaneous ventilation, avoidance of muscle relaxants, and awake-intubation were usually recommended during general anesthesia for high-risk patients with large MMs. However, the recent notion challenged the classic teaching that maintaining spontaneous ventilation is superior to positive-pressure ventilation (PPV)...
2022: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/35985848/perioperative-outcomes-in-minimally-invasive-versus-open-surgery-in-infants-undergoing-repair-of-congenital-anomalies
#24
JOURNAL ARTICLE
Lindsay A Gil, Lindsey Asti, Jordan C Apfeld, Yuri V Sebastião, Katherine J Deans, Peter C Minneci
BACKGROUND: This study compared perioperative outcomes among infants undergoing repair of congenital anomalies using minimally invasive (MIS) versus open surgical approaches. METHODS: The ACS NSQIP Pediatric (2013-2018) was queried for patients undergoing repair of any of the following 9 congenital anomalies: congenital lung lesion (LL), mediastinal mass (MM), congenital malrotation (CM), anorectal malformation (ARM), Hirschsprung disease (HD), congenital diaphragmatic hernia (CDH), tracheoesophageal fistula (TEF), hepatobiliary anomalies (HB), and intestinal atresia (IA)...
August 10, 2022: Journal of Pediatric Surgery
https://read.qxmd.com/read/35936881/initial-ultrasound-evaluation-of-an-anterior-mediastinal-mass-ultimately-diagnosed-as-t-cell-acute-lymphoblastic-leukemia-a-report-of-three-cases-in-children
#25
Takahiro Hosokawa, Mamoru Honda, Yuki Arakawa
Pediatric T-cell acute lymphoblastic leukemia (T-ALL) in the anterior mediastinum has an acute onset and requires early treatment. The diagnostic strategy for anterior mediastinal masses in pediatric patients usually involves imaging evaluation, surgical biopsy, or resection for diagnosis and treatment. Thereafter, appropriate chemotherapy regimen selection is based on the pathological diagnosis. In some cases, general anesthesia is avoided to prevent complications such as airway compression and circulatory collapse...
October 2022: Radiology Case Reports
https://read.qxmd.com/read/35907298/intercostal-nerve-block-is-effective-in-open-biopsies-of-the-anterior-mediastinal-region-case-report-and-review
#26
JOURNAL ARTICLE
Marina Brito Gondar, Mariana Fernandes, Pablo Mondragon, Andres Hagerman, Lennart Magnusson
INTRODUCTION AND IMPORTANCE: Anterior mediastinal masses are rare conditions that can become symptomatic through compression of the airways and vascular structures. Fatal or severe complications can occur during anesthesia and surgery. With this review we aim to describe the state of the art in peri-anesthetic management of mediastinal tumors, which we illustrate with a clinical case. PRESENTATION OF CASE: We report a case of a young female patient suffering from a large anterior mediastinal mass that underwent an open biopsy after intercostal nerve blocks (INB) in six consecutive right intercostal spaces (2nd to 7th)...
July 26, 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/35863286/long-term-results-of-sclerotherapy-for-cervical-thoracic-mediastinal-lymphatic-and-venous-malformations-a-case-report
#27
JOURNAL ARTICLE
Quan-Feng Luo
Cervical-thoracic-mediastinal LVMs in infants is rare, and very difficult to be cured because of life-threatening risk and recurrence. An infant with cervical-thoracic-mediastinal LVMs was treated in our department. Left neck was thick at birth, usually depressed, lazy and inactive. He showed dyspnea after about 3 min of automatic activity, with increased wheezing and open-mouth breathing, squatting after walking no more than 6 steps. There were masses and bulges in the left submandibular area and the left neck...
July 13, 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/35748036/predictive-risk-score-of-respiratory-complications-in-children-with-mediastinal-tumors-a-case-control-study
#28
JOURNAL ARTICLE
Mamoru Honda, Arakawa Yuki, Hosokawa Takahiro, Oyama Chigusa, Mitani Yuichi, Mori Makiko, Kohei Fukuoka, Oshima Koichi, Tanami Yutaka, Ishimaru Tetsuya, Kawashima Hiroshi, Mizuta Koichi, Ueta Ikuya, Kuratani Norifumi, Koh Katsuyoshi
BACKGROUND: The aim of this study was to examine risk factors of respiratory complications at the diagnosis and establish an algorithm of clinical management in children and adolescents with mediastinal tumors. METHODS: We retrospectively collected clinical information of all children and adolescents who presented with mediastinal tumors at Saitama Children's Medical Center from 1999 to 2019, including age, sex, pathological diagnosis, eight major clinical symptoms (cough, dyspnea, hypoxia, orthopnea, chest pain, wheeze, superior vena cava syndrome, and stridor), chest computed tomography (CT) findings (tumor location, mediastinal mass ratio, pleural fluid, pericardial effusion, and compression of trachea and bronchi), types of diagnostic procedure and anesthesia, respiratory complications (severe hypoxia, difficult ventilation, respiratory failure, and cardiopulmonary arrest), and clinical outcome...
June 23, 2022: Cancer Medicine
https://read.qxmd.com/read/35706635/anesthetic-management-for-large-anterior-mediastinal-mass-compressing-great-vessels-of-heart
#29
JOURNAL ARTICLE
Shalendra Singh, Sonia Bhan, Deepak Dwivedi, Priya Taank
No abstract text is available yet for this article.
January 2022: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/35634746/ectopic-cervical-thymic-hyperplasia-in-a-patient-treated-for-hodgkin-lymphoma
#30
JOURNAL ARTICLE
Imen Achour, Rim Kallel, Hela Chaabouni, Wadii Thabet, Malek Mnejja, Bouthaina Hammami, Tahia Boudawara, Mohamed Amine Chaabouni, Ilhem Charfeddine
True thymic hyperplasia results from stressful situations such as chemotherapy. It commonly presents as an anterior mediastinal mass; cervical location is exceptional. Here we report a case of a cervical true thymic hyperplasia in a 12-year-old girl who had a Hodgkin lymphoma treated by radiotherapy and chemotherapy. She was referred to our department for a left cervical mass. The PET scan showed a hypermetabolic adenopathy. Mediastinal MRI was unremarkable. The patient underwent resection of the cervical mass under general anesthesia...
May 29, 2022: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/35098805/type-a-thymoma-in-a-pet-rabbit
#31
JOURNAL ARTICLE
Halley R Robson, Ryan A Yanez, Leanne M Magestro, Stephanie J French, Matti Kiupel
A 4-y-old, spayed female, mixed-breed domesticated rabbit ( Oryctolagus cuniculus domesticus ) was presented because of progressive bilateral exophthalmos, with a large mediastinal mass in the cranial thorax. Palliative radiation therapy was elected, and 4 fractions of 5 Gy were delivered twice weekly under general anesthesia using 3-dimensional conformal radiation therapy for a total dose of 20 Gy, guided by an on-board cone beam CT scan. Quality-of-life and respiratory rate improved before sudden death that followed an episode of dyspnea...
March 2022: Journal of Veterinary Diagnostic Investigation
https://read.qxmd.com/read/34841776/-extranodal-rosai-dorfman-disease-of-anterior-mediastinum-a-case-report
#32
JOURNAL ARTICLE
Jing Liu, Ying Wan, Hua-Xia Pu, Li-Qing Peng
A 28-year-old female patient was referred to and admitted in our hospital for presence of anterior mediastinal mass for 4 years. Enchanced chest computed tomography (CT) revealed an anterior mediastinal mass of soft-tissue density measuring 7.1 cm×3.8 cm with slight homogeneous enhancement after intravenous administration of contrast agent. The mass was clinically considered a thymoma. Then, surgical excision of anterior mediastinal mass was performed under general anesthesia. Postoperative histopathology revealed that there were foamy histiocyte clusters on the background of fibrous tissue hyperplasia and hyaline, with lymphoid hyperplasia, infiltration of plasma cells, and the presence of emperipolesis of lymphocytes and plasma cells in the tissue cells...
November 2021: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://read.qxmd.com/read/34802832/cognitive-aids-for-the-management-of-thoracic-anesthesia-emergencies-consensus-guidelines-on-behalf-of-a-canadian-thoracic-taskforce
#33
REVIEW
Jayden Cowan, Meredith Hutton, Andrew Owen, Darren Lam, David Bracco, Heather Hurdle, Jens Lohser, Jonah Hirshberg, Julia Cory, Lorraine Chow, Sarah McDonald, Julia Haber
A cognitive aid is a tool used to help people accurately and efficiently perform actions. Similarly themed cognitive aids may be collated into a manual to provide relevant information for a specific context (eg, operating room emergencies). Expert content and design are paramount to facilitate the utility of a cognitive aid, especially during a crisis when accessible memory may be limited and distractions may impair task completion. A cognitive aid does not represent a rigid approach to problem-solving or a replacement for decision-making...
August 2022: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/34724550/mediastinal-masses-anesthetic-interventions-and-airway-compression-in-adults-a-prospective-observational-study
#34
JOURNAL ARTICLE
Philip M Hartigan, Sergey Karamnov, Ritu R Gill, Ju-Mei Ng, Stephanie Yacoubian, Hisashi Tsukada, Jeffrey Swanson, Julianne Barlow, Timothy L McMurry, Randal S Blank
BACKGROUND: Central airway occlusion is a feared complication of general anesthesia in patients with mediastinal masses. Maintenance of spontaneous ventilation and avoiding neuromuscular blockade are recommended to reduce this risk. Physiologic arguments supporting these recommendations are controversial and direct evidence is lacking. The authors hypothesized that, in adult patients with moderate to severe mediastinal mass-mediated tracheobronchial compression, anesthetic interventions including positive pressure ventilation and neuromuscular blockade could be instituted without compromising central airway patency...
January 1, 2022: Anesthesiology
https://read.qxmd.com/read/34714957/anesthesia-for-children-with-anterior-mediastinal-masses
#35
REVIEW
Aileen Tan, Judith Anne Nolan
Children with an anterior mediastinal mass may have cardiopulmonary compromise that can be exacerbated under general anesthesia. Signs and symptoms such as cough, shortness of breath, stridor, orthopnea, accessory muscle use, a history of respiratory arrest, and the presence of a pleural effusion and upper body edema are predictive of perioperative complications. A larger mediastinal mass on imaging is predictive of perioperative complications. Risk stratification of patients, together with an individualized plan, will best guide operative management for patients with an anterior mediastinal mass...
January 2022: Paediatric Anaesthesia
https://read.qxmd.com/read/34531109/the-role-of-extracorporeal-membrane-oxygenation-in-the-anesthetic-management-of-superior-vena-cava-syndrome-is-it-time-to-use-a-scoring-system
#36
JOURNAL ARTICLE
Bethany Potere, Racha Boulos, Hamdy Awad, Ashley Taylor, Peter J Kneuertz, Michael Cline, Lori Meyers, Michael Essandoh, Matthew Henn, Ryan Dalton
No abstract text is available yet for this article.
June 2022: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/34482581/risk-factors-for-anesthetic-related-complications-in-pediatric-patients-with-a-newly-diagnosed-mediastinal-mass
#37
JOURNAL ARTICLE
Neal Campbell, Alex Tsai, Brenton Reading, Marita Thompson, Janelle Noel-MacDonnell, Randall Schwartz, Paul Sheeran
BACKGROUND: Pediatric patients with a mediastinal mass can experience severe complications while undergoing anesthesia. Nearly, all published reviews involve either patients with an anterior mediastinal mass or patients with an oncologic disease. AIM: The identification of risk factors for anesthetic-related complications in pediatric patients with any type of mediastinal mass. METHODS: From January 1, 2008 to December 31, 2019, patients with a newly diagnosed mediastinal mass that underwent anesthesia were retrospectively identified...
November 2021: Paediatric Anaesthesia
https://read.qxmd.com/read/34269280/dynamic-anterior-mediastinal-mass-compression-of-the-superior-vena-cava-during-airway-stent-deployment
#38
Jose R Navas-Blanco
Mediastinal masses carry the intrinsic potential for life-threatening perioperative complications that directly impact anesthetic management, since well-recognized cardiopulmonary failure either chronic or acute may occur. A 48-year-old patient with known airway collapse due to an anterior mediastinal mass presents for airway stent insertion, that upon manipulation of the airway, a sudden and reproducible cardiovascular collapse ensued, due to dynamic compression of the superior vena cava, witnessed via endobronchial ultrasound...
July 2021: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/34269275/a-right-para-tracheal-mass-extending-into-the-anterior-mediastinum-an-anesthetic-management-conundrum
#39
Andres Bacigalupo Landa, Kritika Krishnamurthy, Howard S Goldman
The anesthetic management of patients with a mediastinal mass represent a challenge due to the potential for difficult ventilation and intubation, as well as the risk of cardiovascular collapse upon induction of general anesthesia. Different strategies and alternatives have been described. We present the case of a 70-year-old man with a right para-tracheal mass extending into the anterior mediastinum with 90% mid-tracheal lumen obstruction who was successfully managed with venous-venous extra-corporeal membrane oxygenation (ECMO) during mass debulking and tracheal stent placement...
July 2021: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/34205526/ultrasound-guided-anterior-mediastinotomy-a-feasible-tool-for-critical-lymphoma-patients
#40
JOURNAL ARTICLE
Roberto Cascone, Annalisa Carlucci, Gaetana Messina, Antonio Noro, Mary Bove, Giovanni Natale, Caterina Sagnelli, Giorgia Opromolla, Mario Martone, Carlo Santoriello, Elena Santoriello, Pasquale Verolino, Massimiliano Creta, Giovanni Vicidomini, Alfonso Fiorelli, Mario Santini, Antonello Sica
A significant part of all neoplasms growing in anterior mediastinum are lymphomas (25%). Achieving a correct diagnosis and a clear definition of a lymphoma's subtype is crucial for beginning chemotherapy as soon as possible. However, most patients present a large mediastinal mass that compresses vessels and airway, with serious cardiorespiratory repercussions. Therefore, having multiple tools available to biopsy the lesion without worsening morbidity becomes fundamental. Patients enrolled in this study were unfit for a surgical biopsy in general anesthesia and the need to begin chemotherapy as fast as possible prompted us to avoid percutaneous fine needle aspiration to prevent diagnostic failures...
June 21, 2021: Healthcare (Basel, Switzerland)
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