Anaesthetic management for the child with a mediastinal mass
Anaesthetic management for the child with a mediastinal mass
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DOI：
10.1046/j.1460-9592.2003.01196.x
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发表时间：
2004-01-01
影响因子：
1.7
通讯作者：
Hammer, GB
中科院分区：
文献类型：
--
作者：
Hammer, GB
对患有前纵隔肿块的儿童实施麻醉可能导致呼吸或循环系统衰竭，即使在没有症状的儿童中也是如此。机构应该有算法来管理患有纵隔肿块的儿童。术前评估应包括计算机断层扫描、超声心动图和血流检查。麻醉可由吸入剂诱导，并通过面罩或喉罩气道维持自主呼吸。或者，可以使用正压通气，包括不使用肌肉松弛剂的气管插管。在麻醉下气管或支气管塌陷的情况下，刚性支气管镜检查可以挽救生命。对患有前纵隔肿块的儿童实施麻醉可能导致呼吸或循环系统衰竭，即使在没有症状的儿童中也是如此。机构应该有算法来管理患有纵隔肿块的儿童。术前评估应包括计算机断层扫描、超声心动图和血流检查。麻醉可由吸入剂诱导，并通过面罩或喉罩气道维持自主呼吸。或者，可以使用正压通气，包括不使用肌肉松弛剂的气管插管。在麻醉下气管或支气管塌陷的情况下，刚性支气管镜检查可以挽救生命。
Administering anaesthesia to a child with an anterior mediastinal mass may lead to respiratory or circulatory collapse, even in those without symptoms. Institutions should have algorithms to manage children with mediastinal masses. Preoperative evaluations should include computed tomography, echocardiography and flow-volume studies. Anaesthesia may be induced with inhalation agents and maintained with spontaneous respiration via facemask or laryngeal mask airway. Alternatively, positive-pressure ventilation may be used, including tracheal intubation without muscle relaxants. Rigid bronchoscopy may be life-saving in the event of tracheal or bronchial collapse under anaesthesia.Administering anaesthesia to a child with an anterior mediastinal mass may lead to respiratory or circulatory collapse, even in those without symptoms. Institutions should have algorithms to manage children with mediastinal masses. Preoperative evaluations should include computed tomography, echocardiography and flow-volume studies. Anaesthesia may be induced with inhalation agents and maintained with spontaneous respiration via facemask or laryngeal mask airway. Alternatively, positive-pressure ventilation may be used, including tracheal intubation without muscle relaxants. Rigid bronchoscopy may be life-saving in the event of tracheal or bronchial collapse under anaesthesia.