ANTERIOR MEDIASTINAL masses of the mediastinum are well-recognized causes of perioperative
airway obstruction that may be associated with mortality and significant morbidity.
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Depending on size and location, a mediastinal mass also may result in compression
of the great vessels.
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,2
General anesthesia is particularly high risk in this clinical setting and may precipitate
life-threatening hypoxemia and/or cardiopulmonary arrest.
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,2
Several management strategies have been proposed to navigate this challenging scenario,
including anesthetic induction in the sitting position, maintenance of spontaneous
respiration, and availability of venoarterial extracorporeal membrane oxygenation
(VA ECMO).
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Key Words
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Published online: March 05, 2021
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