|
KMID : 1155520170120030256
|
|
Anesthesia and Pain Medicine
2017 Volume.12 No. 3 p.256 ~ p.260
|
|
|
Non-intubated video-assisted thoracoscopic biopsy surgery of a large anterior mediastinal mass via epidural anesthesia -A case report-
|
|
Kim Ki-Yoon
Lee Gyu-Hong
Cho Jong-Ho
Choi Ji-Won
Ahn Hyun-Joo
Yang Mi-Kyung
Lee Sang-Min
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Epidural anesthesia, Mediastinal mass, Video-assisted thoracoscopic surgery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|