Non-intubated video-assisted thoracoscopic biopsy surgery of a large anterior mediastinal mass via epidural anesthesia: A case report.
10.17085/apm.2017.12.3.256
- Author:
Ki Yoon KIM
1
;
Gyu Hong LEE
;
Jong Ho CHO
;
Ji Won CHOI
;
Hyun Joo AHN
;
Mi Kyung YANG
;
Sangmin Maria LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sangminm.lee@samsung.com
- Publication Type:Case Report
- Keywords:
Epidural anesthesia;
Mediastinal mass;
Video-assisted thoracoscopic surgery
- MeSH:
Analgesia, Epidural;
Anesthesia;
Anesthesia, Epidural*;
Biopsy*;
Consciousness;
Cough;
Hemodynamics;
Humans;
Lidocaine;
Respiration;
Thoracic Surgery, Video-Assisted
- From:Anesthesia and Pain Medicine
2017;12(3):256-260
- CountryRepublic of Korea
- Language:English
-
Abstract:
Anesthesia for a patient with a large mediastinal mass is a challenge for anesthesiologists, given the risk of airway collapse and hemodynamic compromise. Moreover, there are very few reports on the anesthetic management of non-intubated video-assisted thoracoscopic surgery (VATS). Thus, in the following case report, we provide an account of the successful anesthetic management and excisional biopsy of a large anterior mediastinal mass (measuring 13 × 10 cm) utilizing non-intubated VATS. The patient was kept awake, maintaining consciousness and spontaneous respiration throughout the procedure, in order to prevent devastating airway collapse and pain control and cough prevention were achieved by thoracic epidural analgesia and lidocaine nebulization.
