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Management Options (Algorithms) for Mediastinal Masses Presenting with Impending Airway Obstruction

Author

Listed:
  • Uma Hariharan
  • Shagun B Shah

    (Anesthesia & Intensive Care, Dr Ram Manohar Lohia Hospital, India)

Abstract

Mediastinal masses can have varied presentations or may even remain silent till very late. There is paucity of literature on acute presentation and management of patients with unrecognised mediastinal masses in the emergency or critical care set up. In patients with impending airway obstruction, standard medical management fails to improve the condition and definitive airway management with positive pressure ventilation may worsen the condition further. A cardiothoracic surgeon opinion should be sought early and femoral vessels may be cannulated prophylactically. Facilities for institution of life support or ECMO2 (extra-corporeal membrane oxygenation) is desirable in intensive care units caring for patients with mediastinal masses. This article depicts the algorithm for management of acute respiratory distress due to hitherto undiagnosed airway-compressing mediastinal masses.

Suggested Citation

  • Uma Hariharan & Shagun B Shah, 2017. "Management Options (Algorithms) for Mediastinal Masses Presenting with Impending Airway Obstruction," Cancer Therapy & Oncology International Journal, Juniper Publishers Inc., vol. 7(1), pages 9-11, September.
  • Handle: RePEc:adp:jctoij:v:7:y:2017:i:1:p:9-11
    DOI: 10.19080/CTOIJ.2017.07.555703
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