Abstract
Mediastinoscopy is widely utilized for the diagnosis and staging of diseases of the mediastinum. Most procedures are performed via a cervical incision. Patients may have significant co-morbidities related to their mediastinal disease such as large anterior mediastinal masses or Lambert-Eaton Syndrome. Anesthetic challenges include potential difficult ventilation and intubation, compression of the innominate artery and major hemorrhage. Knowledge of the implications of co-morbidities, mediastinal anatomy, surgical technique and associated complications are vital in the safe anesthetic care of patients for these procedures. Table 12.1 summarizes the anesthesia considerations for mediastinoscopy and mediastinal surgery.
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References
Carlens EL. Mediastinoscopy: a method for inspection and tissue biopsy in the superior mediastinum. Dis Chest. 1959;36:343–52.
Hammoud ZT, Anderson RC, Meyers BF, Guthrie TJ, Roper CL, Cooper JD, Patterson GA. The current role of mediastinoscopy in the evaluation of thoracic disease. J Thorac Cardiovasc Surg. 1999;118:894–9.
Vueghs PJM, Schurink GA, Vaes L, Langemeyer JJM. Anesthesia in repeat mediastinoscopy: a retrospective study of 101 patients. J Cardiothorac Vasc Anesth. 1992;6(2):193–5.
Gothard JW. Anesthetic considerations for patients with anterior mediastinal masses. Anesthesiol Clin. 2008;26:305–14.
Attar AS, Taghaddomi RJ, Bagheri R. Anesthetic management of patients with anterior mediastinal masses undergoing chamberlain procedure (anterior mediastionostomy). Iran Red Crescent Med J. 2013;15(4):373–4.
Ahmed-Nusrath A, Swanevelder J. Anesthesia for mediastinoscopy. Continuing education in anaesthesia. Critical Care Pain. 2007;7:6–9.
Park BJ, Flores R, Downey RJ, Bains MS, Rusch VW. Management of major hemorrhage during mediastinoscopy. J Thorac Cardiovasc Surg. 2003;126:726–31.
Shaikh N, Ummunisa F. Acute management of vascular air embolism. J Emerg Trauma Shock. 2009;2(3):180–5.
Thomsen RW. Mediastinoscopy and video-assisted thoracoscopic surgery: anesthetic pitfalls and complications. Semin Cardiothorac Vasc Anesth. 2008;12(2):128–32.
Roberts JR, Wadsworth J. Recurrent laryngeal nerve monitoring during mediastinoscopy: predictors of injury. Ann Thorac Surg. 2007;80:288–92.
Sayar A, Çitak N, Büyükkale S, Metin M, Kök A, Çelikten A, Gürses A. The incidence of hoarseness after mediastinoscopy and outcome of video-assisted versus conventional mediastinoscopy in lung cancer staging. Acta Chir Belg. 2016;116(1):23–9.
Vallières E, Pagé A, Verdant A. Ambulatory mediastinoscopy and anterior mediastinotomy. Ann Thorac Surg. 1991;51:1122–6.
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Kalarickal, P.L., Winchester, CL. (2018). Anesthesia for Mediastinoscopy and Mediastinal Surgery. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_12
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DOI: https://doi.org/10.1007/978-3-319-74766-8_12
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