ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASS
Anesthetic management of surgery in patients with large mediastinal mass remains a topical issue of thoracic anesthesiology, since such patients often develop superior mediastinal compression (SMC) which results in a high risk of hemodynamic and respiratory disorders during induction. The degree of...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2018-11-01
|
| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/278 |
| _version_ | 1826567001785499648 |
|---|---|
| author | E. G. Kryukova B. A. Akselrod V. V. Stadler M. O. Vozdvizhenskiy |
| author_facet | E. G. Kryukova B. A. Akselrod V. V. Stadler M. O. Vozdvizhenskiy |
| author_sort | E. G. Kryukova |
| collection | DOAJ |
| description | Anesthetic management of surgery in patients with large mediastinal mass remains a topical issue of thoracic anesthesiology, since such patients often develop superior mediastinal compression (SMC) which results in a high risk of hemodynamic and respiratory disorders during induction. The degree of compression does not always depend on the mass size, and the prediction of SMC progression during induction becomes a challenge.The method to evaluate the degree of mediastinal compression through the functional orthoclinostatic test was developed – the patient is to be placed in Fowler position for 45 degrees in order to follow changes in the cardiac index.It was found out that the patients with SMC detected during the test (increased cardiac index in Fowler position) had their arterial blood pressure reduced after induction, and the number of critical incidents was statistically significantly higher. The test proved to be a non-invasive and safe method of pre-operative prediction of the risk of SMC development and progression during induction. |
| first_indexed | 2024-03-12T03:31:29Z |
| format | Article |
| id | doaj.art-13fe25aeb17145068b6cb35f0c9a57b2 |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2025-03-14T11:00:36Z |
| publishDate | 2018-11-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-13fe25aeb17145068b6cb35f0c9a57b22025-03-02T10:44:31ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532018-11-01155394410.21292/2078-5658-2018-15-5-39-44266ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASSE. G. Kryukova0B. A. Akselrod1V. V. Stadler2M. O. Vozdvizhenskiy3Samara Regional Clinical Cancer Dispensary.Russian Surgery Research Center named after B. V. Petrovsky.Samara Regional Clinical Cancer Dispensary.Samara Regional Clinical Cancer Dispensary.Anesthetic management of surgery in patients with large mediastinal mass remains a topical issue of thoracic anesthesiology, since such patients often develop superior mediastinal compression (SMC) which results in a high risk of hemodynamic and respiratory disorders during induction. The degree of compression does not always depend on the mass size, and the prediction of SMC progression during induction becomes a challenge.The method to evaluate the degree of mediastinal compression through the functional orthoclinostatic test was developed – the patient is to be placed in Fowler position for 45 degrees in order to follow changes in the cardiac index.It was found out that the patients with SMC detected during the test (increased cardiac index in Fowler position) had their arterial blood pressure reduced after induction, and the number of critical incidents was statistically significantly higher. The test proved to be a non-invasive and safe method of pre-operative prediction of the risk of SMC development and progression during induction.https://www.vair-journal.com/jour/article/view/278mediastinal massanesthesiafunctional testscardiac index |
| spellingShingle | E. G. Kryukova B. A. Akselrod V. V. Stadler M. O. Vozdvizhenskiy ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASS Вестник анестезиологии и реаниматологии mediastinal mass anesthesia functional tests cardiac index |
| title | ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASS |
| title_full | ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASS |
| title_fullStr | ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASS |
| title_full_unstemmed | ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASS |
| title_short | ASSESSING THE RISK OF COMPLICATIONS DURING INDUCTION IN THE PATIENTS WITH LARGE MEDIASTINAL MASS |
| title_sort | assessing the risk of complications during induction in the patients with large mediastinal mass |
| topic | mediastinal mass anesthesia functional tests cardiac index |
| url | https://www.vair-journal.com/jour/article/view/278 |
| work_keys_str_mv | AT egkryukova assessingtheriskofcomplicationsduringinductioninthepatientswithlargemediastinalmass AT baakselrod assessingtheriskofcomplicationsduringinductioninthepatientswithlargemediastinalmass AT vvstadler assessingtheriskofcomplicationsduringinductioninthepatientswithlargemediastinalmass AT movozdvizhenskiy assessingtheriskofcomplicationsduringinductioninthepatientswithlargemediastinalmass |