Unrecognized Mediastinal Tumor Causing Sudden Tracheal Obstruction and Out-of-Hospital Cardiac Arrest

Suominen, Pertti; Kanerva, Jukka; Saliba, Kenneth J.; Taivainen, T.

doi:10.1016/j.jemermed.2007.10.065

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…[2] Lymphomas are the most common cause of mediastinal masses in the paediatric population. [1,4] Between 50 and 70% of patients with lymphoblastic lymphomas present with an anterior mediastinal or intrathoracic mass. [1] In the paediatric population, two-thirds of lymphomas occurring in the mediastinum are nonHodgkin's lymphoma, and the remainder are Hodgkin's lymphoma.…”

Section: Discussionmentioning

confidence: 99%

“…[6] When planning a biopsy, the clinician needs to be aware that there is a significant anaesthetic risk with any form of sedation and induction of anaesthesia leading to possible acute airway obstruction, sudden cardiac arrest and death. [4,[7][8][9] The risk is present even in the case of an asymptomatic lesion. [4] Children with superior mediastinal masses are at higher risk of an anaesthetic death than their adult counterparts.…”

Section: Fig 3 Hande Section Of the Mass Seen In Figures Revealing Exmentioning

confidence: 99%

“…[4,[7][8][9] The risk is present even in the case of an asymptomatic lesion. [4] Children with superior mediastinal masses are at higher risk of an anaesthetic death than their adult counterparts. [9] Conscious sedation with spontaneous breathing during the procedure is the recommended method of anaesthesia in these patients and neuromuscular blockade is not advised.…”

Section: Fig 3 Hande Section Of the Mass Seen In Figures Revealing Exmentioning

confidence: 99%

“…[9] Conscious sedation with spontaneous breathing during the procedure is the recommended method of anaesthesia in these patients and neuromuscular blockade is not advised. [4,8,9] The role of preoperative steroids needs to be clearly defined, the advantage of which will decrease the risk of airway obstruction by shrinking the tumour and improving the anaesthetic outcome. [10] However, this runs the risk of an inadequate biopsy specimen and could potentially interfere with a histological diagnosis.…”

Section: Fig 3 Hande Section Of the Mass Seen In Figures Revealing Exmentioning

confidence: 99%

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Superior mediastinal masses in children – two cases of lymphoma

Jeevarathnum

Niekerk²,

Parris³

et al. 2016

S Afr Res J

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<div><p>The exact incidence of superior mediastinal masses in children is largely unknown. They present as a spectrum of disease ranging from an incidental finding on a Chest X-Ray to being markedly symptomatic with superior vena caval syndrome or obstruction of the upper airways. Lymphomas seem to be the most common causes of superior mediastinal masses in children. We present two cases of confirmed T cell lymphoma in children with superior mediastinal masses. In doing so, we explore a diagnostic approach and visit the complications the physician needs to be aware of when confronted with a child with a superior mediastinal mass.</p></div>

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Section: Discussionmentioning

confidence: 99%

Section: Fig 3 Hande Section Of the Mass Seen In Figures Revealing Exmentioning

confidence: 99%

Section: Fig 3 Hande Section Of the Mass Seen In Figures Revealing Exmentioning

confidence: 99%

Section: Fig 3 Hande Section Of the Mass Seen In Figures Revealing Exmentioning

confidence: 99%

See 2 more Smart Citations

Superior mediastinal masses in children – two cases of lymphoma

Jeevarathnum

Niekerk²,

Parris³

et al. 2016

S Afr Res J

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“…This effect is more seen in children because of more incidence of neurogenic tumour [17,19], small thoracic cavity size, more compressible cartilaginous structure of the airway, reduced cardiopulmonary reserve or difficulty in obtaining a history of positional symptoms in children [16]. Some study found higher mortality in children [20,21], whereas according to some there is no significant difference in mortality in different age group [22]. Another definite problem in pediatric age group is institution of femorofemoral bypass under local anesthesia.…”

Section: Anesthetic Management Problemsmentioning

confidence: 99%

Cardiovascular and Airway Considerations in Mediastinal Mass During Thoracic Surgery

Ganguly¹

2014

J Clin Exp Cardiolog

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Mediastinal Masses have always posed as a nightmare even for the skilful anaesthesiologists. The compression effects, the proximity to major vascular and airway structures, the complex surgical approaches has altogether made both the diagnostic and therapeutic procedures a high risk event. The scenario is more troublesome if the patient is an infant or child. Here the anaesthesiologists has almost no information regarding 'Position of airway rescue' or 'Position of maximum airway patency' to which he can put the patient in case of any therapeutic misadventure arising out of compressive effect of the mediastinal mass on the airway and/or great vessels once the patient is induced or in the way of being induced for anaesthesia.

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