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Case 1: A Patient with a Mediastinal Mass

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Abstract

Today you are an attending anesthesiologist in a large university medical center. The first case is a 55-year-old gentleman (60 kg, 5 ft 11 in.) with multiple metastatic melanomas. He has had one metastasis removed from his brain in the past. He now presents with some speech impairment and is scheduled for a tumor ­resection close to his speech center. His past history is significant for a difficult airway, hypertension, and coronary artery disease. A previous anesthesia record from another hospital informs you that the patient had a grade 4 view. The airway was, at that time, secured by using a bougie. His coronary artery disease is stated to be stable. He is 90 kg and is 6 ft 1 in. tall. You arrange for an awake fiberoptic cart to be available in the morning.

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Authors and Affiliations

  1. Stanford University Medical Center, Stanford, CA, 94305-5640, USA

    John G. Brock-Utne MD, PhD, FFA(SA) (Professor of Anesthesia)

Authors
  1. John G. Brock-Utne MD, PhD, FFA(SA)
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Correspondence to John G. Brock-Utne MD, PhD, FFA(SA) .

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© 2012 Springer Science+Business Media, LLC

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Brock-Utne, J.G. (2012). Case 1: A Patient with a Mediastinal Mass. In: Case Studies of Near Misses in Clinical Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1179-7_1

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  • DOI: https://doi.org/10.1007/978-1-4419-1179-7_1

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1178-0

  • Online ISBN: 978-1-4419-1179-7

  • eBook Packages: MedicineMedicine (R0)

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