Hammond BM1, Shartel SA1, Fundakowski CE2, Keresztury MF1, Kaiser LR3 and Erkmen CP3*
1Department of Anesthesia, Temple University Health Systems, USA
2Department of Otolaryngology, Temple University Health Systems, USA
3Department of Thoracic Medicine and Surgery, Temple University Health Systems, USA
Perioperative management of a large mediastinal mass poses a substantial clinical challenge, particularly during induction of general anesthesia. Critical airway compression with inability to ventilate is a significant threat. We discuss a patient undergoing resection of a complex mediastinal mass who upon induction and attempted intubation had insufficient oxygenation and ventilation. We initiated veno-venous extracorporeal membrane oxygenation allowing for a controlled resection of the complex tumor. She recovered successfully with no complication. Our case exemplifies the importance of multidisciplinary coordination in the perioperative management of the patient with a complex mediastinal mass.
Hammond BM, Shartel SA, Fundakowski CE, Keresztury MF, Kaiser LR, Erkmen CP. Use of Extracorporeal Membrane Oxygenation (ECMO) for Management of Profound Dyspnea Caused by a Mediastinal Goiter. Clin Surg. 2016; 1: 1076.