Management Options (Algorithms) for Mediastinal Masses Presenting with Impending Airway Obstruction

Uma Hariharan and Shagun B Shah
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Shagun B Shah: Anesthesia & Intensive Care, Dr Ram Manohar Lohia Hospital, India

Cancer Therapy & Oncology International Journal, 2017, vol. 7, issue 1, 9-11

Abstract: Mediastinal masses can have varied presentations or may even remain silent till very late. There is paucity of literature on acute presentation and management of patients with unrecognised mediastinal masses in the emergency or critical care set up. In patients with impending airway obstruction, standard medical management fails to improve the condition and definitive airway management with positive pressure ventilation may worsen the condition further. A cardiothoracic surgeon opinion should be sought early and femoral vessels may be cannulated prophylactically. Facilities for institution of life support or ECMO2 (extra-corporeal membrane oxygenation) is desirable in intensive care units caring for patients with mediastinal masses. This article depicts the algorithm for management of acute respiratory distress due to hitherto undiagnosed airway-compressing mediastinal masses.

Keywords: juniper publishers:oncology journals; oncology research journals; oncology journal articles; oncology and cancer case reports; oncology journal of clinical and experimental cancer research; open access; open access journals; Oncology International Journal; juniper publishers reivew (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:adp:jctoij:v:7:y:2017:i:1:p:9-11

DOI: 10.19080/CTOIJ.2017.07.555703

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