The anesthetic management and the role of extracorporeal membrane oxygenation for giant mediastinal tumor surgery.

ABSTRACT: Mediastinal tumors are a remarkably diverse category. They include malignant and benign forms with different rates of disease progression and tissue invasion. Anesthesiologists may encounter significant difficulties in managing patients with giant mediastinal tumors due to the non-negligible occurrence of severe cardiorespiratory collapse. Respiratory complications ensue from the compression of the airways induced by the mediastinal mass: the compressive effects may be exacerbated by positioning or anesthesia induction. Furthermore, the compression or invasion of major vessels may elicit acute cardiovascular collapse. The specter of sudden cardiorespiratory deterioration should lead the anesthesiologist to careful planning: acknowledging clinical and radiological signs that may presage an

SUBMITTER: Bertini P 

PROVIDER: S-EPMC10011869 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature