PAEDIATRIC THORACIC TUMOUR RESECTION: CHALLENGE FOR AN ANAESTHESIOLOGIST

Authors

  • Syed Shabbir Ahmed The aga khan university hospital
  • Khalid Samad The aga khan university hospital
  • Muhammad Saad Yousuf The aga khan university hospital
  • Faisal Junejo Tabba heart institute

Abstract

Paediatric thoracic tumours resection is one of the most difficult procedure for any anaesthetist. Paediatric population is different from adults in many aspects, as they have small thoracic volume and more compressible mass effect on their airway and vascular structures. we are reporting a case of a huge paediatric thoracic tumour resection occupying the left thoracic cavity. The possible mechanism, consequences, prevention and management discussed in this report.Keywords: mediastinal mass; paediatric thoracic surgery; teratoma

Author Biographies

Syed Shabbir Ahmed, The aga khan university hospital

Senior instructorDepartment of anaesthesiaThe aga khan university hospitalkarachi

Khalid Samad, The aga khan university hospital

Associate professorDepartment of anaesthesiaThe aga khan university hospitalkarachi

Muhammad Saad Yousuf, The aga khan university hospital

Fellow cardiothoracic anaesthesiaDepartment of anaesthesiaThe aga khan university hospitalkarachi

Faisal Junejo, Tabba heart institute

consultant cardiothoracic anaesthesiaTabba heart institute

References

Soomro NH, Shariff AS, Zafar AA, Ehtisham O, Maxood G, Panjwani K. Patterns Of Mediastinal Tumors; A Two And Half Year Experience. Professional Med J 2016;23(2):223–7.

Mlika M, Braham E, Hamrouni R, Zribi H, El Mezni F. About a challenging mediastinal tumor. Asian Cardiovasc Thorac Ann 2015;23(9):1125–8.

Ranganath SH, Lee EY, Restrepo R, Eisenberg RL. Mediastinal masses in children. AJR Am J Roentgenol 2012;198(3):W197–216.

Singh AK, Sargar K, Restrepo CS. Paediatric Mediastinal Tumors and Tumor-Like Lesions. Semin Ultrasound CT MR 2016;37(3):223–37.

Pearson JK, Tan GM. Paediatric anterior mediastinal mass: A review article. Semin Cardiothorac Vasc Anesth 2015;19(3):248–54.

Suominen PK, Kanerva JA, Saliba KJ, Taivainen TR. Unrecognized mediastinal tumor causing sudden tracheal obstruction and out-of-hospital cardiac arrest. J Emerg Med 2010;38(5):e63–6.

Shamim F, Ullah H, Rehman A. Anaesthetic management of a child with massive extracranial arteriovenous malformation. J Anaesthesiol Clin Pharmacol 2012;28(1):117–20.

Kar S. Paediatric Anterior Mediastinal Mass: A Night Mare for the Anaesthesiologist & the Need for a Systematic Evidence Based Approach towards Management of Anterior Mediastinal Mass in Paediatric Population. Analg Resusc Curr Res 2017;3:3–6.

Stricker PA, Gurnaney HG, Litman RS. Anesthetic management of children with an anterior mediastinal mass. J Clin Anesth 2010;22(3):159–63.

Blank RS, de Souza DG. Anesthetic management of patients with an anterior mediastinal mass: continuing professional development. Can J Anaesth 2011;58(9):853–9.

Downloads

Published

2020-02-01