Vas L, Naregal F, Naik V
Bai Jerbai Wadia Hospital for Children, Acharya Donde Marg, Parel Mombay, India.
Paediatr Anaesth. 1999;9(5):439-43. doi: 10.1046/j.1460-9592.1999.00413.x.
A substantial mediastinal mass in a small infant can create a dilemma regarding the safest mode of airway management. To ensure safety at all times, we adopted one lung ventilation for fear of compression of the carina and/or both main bronchi. Anaesthesia was maintained at a very light plane by the use of local nerve blocks to secure the airway and epidural analgesia for surgery until the tumour was mobilized.
小婴儿出现巨大纵隔肿物会给气道管理的最安全方式带来难题。为始终确保安全，因担心隆突和/或双侧主支气管受压，我们采用了单肺通气。通过局部神经阻滞确保气道安全，并采用硬膜外镇痛用于手术，直至肿瘤松动，在此期间麻醉维持在很浅的水平。
