“Manually Ventilating Test” in Anesthesia Management of Children with Massive Anterior Mediastinal Masses Requiring Tracheal Intubation.A case series

• Main Authors: Mohammad Gharavi, Alireza Sabzevari, Nina Masoumi, Majid Razavi
• Format: Article
• Language: English
• Published: Mashhad University of Medical Sciences 2014-08-01
• Series: International Journal of Pediatrics
• Subjects: General Anesthesia; Intubation; Mediastinal Neoplasms
• Online Access: http://ijp.mums.ac.ir/pdf_2984_feca88243dd56f0a5c440313c1087968.html
• ISSN: 2345-5047; 2345-5055

The risk of life-threatening complications during induction of anesthesia in patients with anterior mediastinal mass is well recognized. Maintenance of spontaneous ventilation during anesthesia is an accepted standard goal in all published reports. However, the decision to paralyze the patient, which is really needed in most surgical procedures, is still a challenging event. In this study, “manually ventilating test” as a predictive test was assessed to make the decision to paralyze children with massive anterior mediastinal masses who needed tracheal intubation. . It seems that manually ventilating test may at least be a simple and reliable test to identify cases that could be paralyzed successfully