Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2014.01.009
Brazilian Journal of Anesthesiology
Clinical Informations

Anesthetic management of a large mediastinal mass for tracheal stent placement

Manejo anestésico de grande massa mediastinal para a colocação de stent traqueal

Suman Rajagopalan; Mark Harbott; Jaime Ortiz; Venkata Bandi

http://dx.doi.org/10.1016/j.bjane.2014.01.009 Braz J Anesthesiol, vol.66, n2, p.215-218, 2016
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Abstract

ABSTRACT The anesthetic management of patients with large mediastinal masses can be complicated due to the pressure effects of the mass on the airway or major vessels. We present the successful anesthetic management of a 64-year-old female with a large mediastinal mass that encroached on the great vessels and compressed the trachea. A tracheal stent was placed to relieve the tracheal compression under general anesthesia. Spontaneous ventilation was maintained during the perioperative period with the use of a classic laryngeal mask airway. We discuss the utility of laryngeal mask airway for anesthetic management of tracheal stenting in patients with mediastinal masses.

Keywords

Anesthetic management, Mediastinal mass, Laryngeal mask airway, Tracheal stent

Resumo

RESUMO O manejo anestésico de pacientes com grandes massas situadas no mediastino pode ser complicado por causa dos efeitos da pressão da massa sobre as vias aéreas ou grandes vasos. Relatamos o manejo anestésico bem-sucedido de uma paciente de 64 anos com uma grande massa mediastinal que invadiu os grandes vasos e comprimiu a traqueia. Um stent traqueal foi colocado para aliviar a compressão da traqueia, sob anestesia geral. A ventilação espontânea foi mantida durante o período perioperatório com o uso de uma máscara laríngea clássica. Discutimos a utilidade da máscara laríngea para o manejo da colocação de stent traqueal em pacientes com massas situadas no mediastino.

Palavras-chave

Anestesia, Doenças do Mediastino, Máscaras Laríngeas, Stents

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