3D Virtual Bronchoscopy as an Aid to Airway Management in a Patient with Anterior Mediastinal Mass
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Date
2024-04
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer – Medknow
Abstract
Mediastinal masses pose one of the great challenges for any anesthesiologist during airway maintenance, underlining the need to devise a well?formulated plan to avoid perioperative complications. As a general rule, such patients are managed with spontaneous ventilation without the use of muscle relaxants and awake intubation. We report a case of a 66?year?old male with severe dyspnea, having a very large invasive anterior mediastinal mass, causing left lung collapse for urgent debulking surgery. The tracheobronchial compromise was ruled out using three?dimensional reconstruction on computed tomography imaging (virtual bronchoscopy) and that helped in using general anesthesia with muscle relaxation for subsequent endotracheal intubation and surgery.
Description
Keywords
Anterior mediastinal mass, general anesthesia for mediastinal mass resection, muscle relaxation for mediastinal masses, virtual bronchoscopy
Citation
Arora Divya, Tewari Prabhat, Shamshery Chetna, Chandra Bipin, Gupta Archna, Pal Lily. 3D Virtual Bronchoscopy as an Aid to Airway Management in a Patient with Anterior Mediastinal Mass. Annals of Cardiac Anaesthesia. 2024 Apr; 27(2): 165-168