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Journal of Case Reports
Non-Intubated Video-Assisted Thoracoscopy Using Epidural Anesthesia and Targeted Sedation in Mediastinal Mass
Isadora Megale Quadros, Marina Ayres Delgado, Camila Biazussi Damasceno, Paula Alves Pinheiro
Department of Anesthesia and Pain Medicine, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte/Minas Gerais, Brazil.
Corresponding Author:
Dr Isadora Megale Quadros
Email: isadoramegaleq@gmail.com
Received: 23-OCT-2020 Accepted: 13-APR-2021 Published Online: 20-JUN-2021
DOI: http://dx.doi.org/10.17659/01.2021.0034
Background: Patients with mediastinal masses present unique challenges for anesthesiologists. If located in the anterior mediastinum they can cause obstruction of the airways and large vessels such as the pulmonary arteries and the superior vena cava (SVC). Case Report: During surgical procedures, acute cardiorespiratory collapse can be linked to general anesthesia due to tumor-related compression syndromes. Local anesthesia can be chosen in order to maintain spontaneous ventilation. Conclusion: This article aims to describe the case of a patient having a large anterior mediastinal mass with significant compressive symptoms who underwent thoracoscopy with biopsy.
Keywords : General Anesthesia, Epidural Anesthesia, Mediastinum, Mediastinal Diseases, Thoracoscopy.
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