Skip to main content
SpringerLink
Log in

Mediastinal Masses

  • Chapter
  • First Online:
Clinical Thoracic Anesthesia

  • 625 Accesses

Abstract

Tumors arising in or around the vicinity of the mediastinum are rare, but, if present they pose significant challenges to the anesthesiologist, as they may involve/compress vital structures in and around mediastinum [1–5].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Piro AJ, Weiss DR, Hellman S. Mediastinal Hodgkin’s disease: a possible danger for intubation anesthesia. Int J Radiat Oncol Biol Phys. 1976;1:415–9.

    Article  CAS  Google Scholar 

  2. Keon TP. Death on induction of anesthesia for cervical node biopsy. Anesthesiology. 1981;55:471–2.

    Article  CAS  Google Scholar 

  3. Bray RJ, Fernandes FJ. Mediastinal tumour causing airway obstruction in anaesthetised children. Anaesthesia. 1982;37:571–5.

    Article  CAS  Google Scholar 

  4. Mackie AM, Watson CB. Anaesthesia and mediastinal mass. Anaesthesia. 1984;39:899–903.

    Article  CAS  Google Scholar 

  5. Goh MH, Liu XY, Goh YS. Anterior mediastinal masses: an anaesthetic challenge. Anaesthesia. 1999;54:670–4.

    Article  CAS  Google Scholar 

  6. Gothard JWW. Anesthetic considerations for patients with anterior mediastinal masses. Anesthesiol Clin. 2008;26:305–14.

    Article  Google Scholar 

  7. Johnson D, Shah P. Mediastinum. In: Standring S, editor. Gray’s anatomy: thorax. 29th ed. Edinburgh: Elsevier Churchill Livingstone; 2005. p. 976.

    Google Scholar 

  8. Shields TW. General thoracic surgery: the mediastinum, its compartments and the mediastinal lymph nodes. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2000.

    Google Scholar 

  9. Daniel P, Raymond T, Daniel M. Mediastinal anatomy and mediastinoscopy. In: Sellke MD, Nido PJD, Swanson SJ, editors. Sabiston & Spencer Surgery of the chest: mediastinum. 7th ed. Philadelphia: Elsevier Saunders; 2005.

    Google Scholar 

  10. Neuman GG, Weingarten AE, Abramowitz RM. et al. The anesthetic management of the patient with an anterior mediastinal mass. Anesthesiology. 1984;60:144–7.

    Google Scholar 

  11. Warren WH. Chapter 122: Anatomy of the mediastinum with special reference to surgical access. In: Pearson’s thoracic and esophageal surgery. 3rd ed. Milton, ON: Elsevier; 2009. p. 1472.

    Google Scholar 

  12. Prakash UB, Abel MD, Hubmayer RD. Mediastinal mass and tracheal obstruction during general anesthesia. Mayo Clin Proc. 1988;63:1004–11.

    Article  CAS  Google Scholar 

  13. Miller RD, Hyatt RE. Obstructing lesions of the larynx and trachea: clinical and physiologic characteristics. Mayo Clin Proc. 1969;44:145–61.

    CAS  PubMed  Google Scholar 

  14. Sungur Z, Sentürk M. Anaesthesia for thymectomy in adult and juvenile myasthenic patients. Curr Opin Anaesthesiol. 2016;29:14–9.

    Article  CAS  Google Scholar 

  15. Erdos G, Tzanova I. Perioperative anaesthetic management of mediastinal mass in adults. Eur J Anaesthesiol. 2009;26:627–32.

    Article  Google Scholar 

  16. Li WWL, Boven WJP, Annema JT, et al. Management of large mediastinal masses: surgical and anesthesiological considerations. J Thorac Dis. 2016;8(3):E175–84.

    Article  Google Scholar 

  17. Slinger PD, Campos JH. Anesthesia for thoracic surgery. In: Miller RD, Eriksson LI, Fleisher LA, et al. editors. Miller’s anesthesia. 7th ed. Amsterdam: Elsevier; 2009. p. 1856.

    Google Scholar 

  18. Said SM, Telesz BJ, Makdisi G, et al. Awake cardiopulmonary bypass to prevent hemodynamic collapse and loss of airway in a severely symptomatic patient with a mediastinal mass. Ann Thorac Surg. 2014;98(4):e87–90.

    Article  Google Scholar 

  19. Wang G, Lin S, Yang L, et al. Surgical management of tracheal compression caused by mediastinal goiter: is extracorporeal circulation requisite? J Thorac Dis. 2009;1(1):48–50.

    PubMed  PubMed Central  Google Scholar 

  20. Hong T, Jo KW, Lyu J, et al. Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security. J Crit Care. 2013;28:669–74.

    Article  Google Scholar 

  21. Herring K, Sreelatha P, Roy S, et al. Perioperative airway management of a mediastinal mass through early intervention with extracorporeal membrane oxygenation (ECMO). Int J Clin Anesthesiol. 2014;2(1):1022–4.

    Google Scholar 

  22. Chaudhary K, Gupta A, Wadhawan S, et al. Anesthetic management of superior vena cava syndrome due to anterior mediastinal mass. J Anaesthesiol Clin Pharmacol. 2012;28(2):242–6.

    Article  Google Scholar 

  23. Van der Els NJ, Sorhage F, Bach AM, et al. Abnormal flow volume loops in patients with intrathoracic Hodgkin’s disease. Chest. 2000;117:1256–61.

    Article  Google Scholar 

  24. Hnatiuk OW, Corcoran PC, Sierra A. Spirometry in surgery for anterior mediastinal masses. Chest. 2001;120:1152–6.

    Article  CAS  Google Scholar 

  25. Li WW, van Boven WJ, Annema JT, et al. Management of large mediastinal masses: surgical and anesthesiological considerations. J Thorac Dis. 2016;8(3):E175–84.

    Google Scholar 

  26. Brooker RF, Zvara DA, Roitstein A. Mediastinal mass diagnosed with intraoperative transesophageal echocardiography. J Cardiothorac Vasc Anesth. 2007;21:257–8.

    Article  Google Scholar 

  27. Shamberger RS, Holzman RS, Griscom NT, et al. CT quantitation of tracheal cross-sectional area as a guide to the surgical and anesthetic management of children with anterior mediastinal masses. J Pediatr Surg. 1991;26:138–42.

    Article  CAS  Google Scholar 

  28. Anghelescu DL, Burgoyne LL, Liu T, et al. Clinical and diagnostic imaging findings predict anesthetic complications in children presenting with malignant mediastinal masses. Pediatr Anesth. 2007;17:1090–8.

    Google Scholar 

  29. Borenstein SH, Gerstle T, Malkin D, et al. The effects of prebiopsy corticosteroid treatment on the diagnosis of mediastinal lymphoma. J Pediatr Surg. 2000;35:973–6.

    Article  CAS  Google Scholar 

  30. Greenstein S, Ghias K, Krett NL, et al. Mechanisms of glucocorticoidinduced apoptosis in hematological malignancies. Clin Cancer Res. 2002;8:1681–94.

    CAS  PubMed  Google Scholar 

  31. Frankfurt O, Rosen ST. Mechanisms of glucocorticoid induced apoptosis in hematological malignancies: updates. Curr Opin Oncol. 2004;16:553–63.

    Article  CAS  Google Scholar 

  32. Abdelmalak B, Marcanthony N, Abdelmalak J, et al. Dexmedetomidine for anesthetic management of anterior mediastinal mass. J Anesth. 2010;24:607–10.

    Article  Google Scholar 

  33. Thakur P, Bhatia PS, Sitalakshmi N, et al. Anesthesia for mediastinal mass. Indian J Anaesth. 2014;58(2):215–7.

    Article  Google Scholar 

  34. Gardner JC, Royster RL. Airway collapse with an anterior mediastinal mass despite spontaneous ventilation in an adult. Anesth Analg. 2011;113(2):239–42.

    Article  Google Scholar 

  35. DeSoto H. Direct laryngoscopy as an aid to relieve airway obstruction in a patient with mediastinal mass. Anesthesiology. 1987;67:116–7.

    Article  CAS  Google Scholar 

  36. Azizkhan RG, Dudgeon DL, Buck JR. Life-threatening airway obstruction as a complication to the management of mediastinal masses in children. J Pediatr Surg. 1985;20(6):816–22.

    Article  CAS  Google Scholar 

  37. Park BJ, Flores R, Downey RJ, et al. Management of major hemorrhage during mediastinoscopy. J Thorac Cardiovasc Surg. 2003;126:726–31.

    Article  Google Scholar 

  38. Kiss G, Castillo M. Nonintubated anesthesia in thoracic surgery : general issues. Ann Transl Med. 2015;3:110.

    PubMed  PubMed Central  Google Scholar 

  39. Bechard P, Letrouneau L, Lacasse Y, et al. Perioperative cardiorespiratory complications in adults with mediastinal mass. Anesthesiology. 2004;100:826–34.

    Article  Google Scholar 

  40. Yang YL, Lu HI, Huang HW, et al. Mediastinal tumor resection under the guidance of transesophageal echocardiography. Anaesth Intensive Care. 2007;35(2):312.

    CAS  PubMed  Google Scholar 

  41. Lin CM, Hsu JC. Anterior mediastinal tumour identified by intraoperative transesophageal echocardiography. Can J Anaesth. 2001;48:78–80.

    Article  CAS  Google Scholar 

  42. Oneglia C, Di Fabio D, Bonora-Ottoni D. Is transesophageal echocardiography useful in planning surgery of mediastinal thymomas? Int J Cardiol. 2007;121:312–4.

    Article  Google Scholar 

  43. Redford DR, Kim AS, Barber BJ, et al. Transesophageal echocardiography for the intraoperative evaluation of a large anterior mediastinal mass. Anesth Analg. 2006;103(3):578–9.

    Article  Google Scholar 

  44. Thys DM, Abel MD, Brooker RF, et al. Practice guidelines for perioperative transesophageal echocardiography. Anesthesiology. 2010;112:1.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institute of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India

    Mahinder Singh Baansal

Authors
  1. Mahinder Singh Baansal
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institute of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India

    Jayashree Sood

  2. Institute of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India

    Shikha Sharma

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Baansal, M.S. (2020). Mediastinal Masses. In: Sood, J., Sharma, S. (eds) Clinical Thoracic Anesthesia. Springer, Singapore. https://doi.org/10.1007/978-981-15-0746-5_13

Download citation

  • DOI: https://doi.org/10.1007/978-981-15-0746-5_13

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0745-8

  • Online ISBN: 978-981-15-0746-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation