Safe Anesthesia Induction in Patients with Anterior Mediastinal Mass Using Muscle ParalysisMona Sarkiss*, Carlos Jimenez, David Ost and Georgie Eapen
Anderson Cancer Center, University of Texas, Houston, TX, United States
- *Corresponding Author:
- Mona Sarkiss
Anderson Cancer Center, University of Texas
Houston, TX, United States
E-mail: [email protected]
Received date: March 30, 2017; Accepted date: May 03, 2017; Published date: May 05, 2017
Citation: Sarkiss M, Jimenez C, Ost D, Eapen G (2017) Safe Anesthesia Induction in Patients with Anterior Mediastinal Mass Using Muscle Paralysis. J Anesth Clin Res 8:722. doi:10.4172/2155-6148.1000722
Copyright: © 2017 Sarkiss M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Available reports suggest that an anterior mediastinal mass causing more than 50% narrowing of the trachea and compressing the great vessels can cause further narrowing of the airway and cardiovascular collapse after the administration of muscle relaxants. Accordingly, inhalation induction of general anesthesia or awake intubation is used to avoid the use of muscle relaxation.
The following two case reports describe the stepwise safe anesthetic induction of two patients with anterior mediastinal masses using total intravenous anesthesia followed by tailored positive pressure ventilation and administration of muscle relaxant.