Armas Alfredo, Primm Aaron N
From the Department of Anesthesiology, Perioperative Care, and Pain Medicine, NYU Langone Medical Center, New York, New York.
A A Pract. 2020 Jan 1;14(1):25-27. doi: 10.1213/XAA.0000000000001142.
Patients with anterior mediastinal masses pose a significant challenge to anesthesiologists. Catastrophic outcomes have been described in patients with mediastinal masses undergoing anesthesia. However, despite an abundance of literature discussing anesthetic management of these patients, there is a lack of reports detailing the management of this population undergoing advanced endoscopic procedures under sedation. We report on a 28-year-old man with a large anterior mediastinal mass who underwent endoscopic retrograde cholangiopancreatography in the prone position under moderate to deep sedation without complication.
前纵隔肿块患者给麻醉医生带来了重大挑战。有报道称纵隔肿块患者在接受麻醉时会出现灾难性后果。然而,尽管有大量文献讨论这些患者的麻醉管理,但缺乏详细描述这一人群在镇静下接受高级内镜手术管理的报告。我们报告了一名28岁的男性,他患有巨大的前纵隔肿块,在中深度镇静下俯卧位接受了内镜逆行胰胆管造影术,未出现并发症。