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Article
Emergency airway management of a patient with mediastinal mass
Journal of Pakistan Medical Association
  • Anwar ul Huda, Aga Khan University
  • Khalid Maudood Siddiqui, Aga Khan University
  • Fazal Hameed Khan, Aga Khan University
Publication Date
1-1-2007
Document Type
Article
Disciplines
Abstract
Appropriate airway management is an essential part of anaesthesiologist's role. Extrinsic airway compression by rapidly growing mediastinal masses represents a therapeutic challenge to anaesthesiologists. We report a case of successful airway management in a patient with obstructed airway. The patient was a middle aged female who presented with severe respiratory distress secondary to a huge mediastinal mass. CT scan showed widened superior mediastinum with circumferential narrowing of trachea and left main bronchus. Her condition continued to deteriorate during her hospital admission, so emergency intubation and tracheostomy was planned. She was intubated with the help of a bougie using size 6 microlaryngoscopic tube after inhalational induction and mediastinal tracheostomy was done. Intraoperatively, there were few episodes of hypotension and desaturation, otherwise rest of intraoperative course remained uneventful.
Citation Information
Anwar ul Huda, Khalid Maudood Siddiqui and Fazal Hameed Khan. "Emergency airway management of a patient with mediastinal mass" Journal of Pakistan Medical Association Vol. 57 Iss. 3 (2007) p. 152 - 154
Available at: http://works.bepress.com/fazal_hameed/15/