Posterior mediastinal mass in a neonate causing airway compression: Perioperative anesthetic management

• Main Authors: Amit Rastogi, Nishat Nasar, Ankur Mandelia, Tapas K Singh
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: Annals of Cardiac Anaesthesia
• Subjects: anaesthesia; pediatric; posterior mediastinal mass; thoracotomy
• Online Access: http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=2;spage=250;epage=252;aulast=Rastogi

Posterior mediastinal masses by their location pose a risk of compression of heart, great vessels and airway. These risks are further exaggerated, with the use of neuromuscular relaxants and lateral positioning during anesthesia. We report a case of a 2.5 months old baby with posterior mediastinal mass causing compression of left bronchus and significant mediastinal shift with respiratory distress as a primary complaint. This posterior mediastinal Mass (PMM) was removed by right lateral thoracotomy without the initial use of neuromuscular blockade till the pleura was opened.