Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case report
Mediastinal masses in pregnancy, although rare, can present with life threatening central airway obstruction if general anesthesia is required. In patients with central airway obstruction who are classified as being high risk for anesthesia, specific cardiothoracic interventions are usually required...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-05-01
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| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001421000269 |
| _version_ | 1811227499120558080 |
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| author | Keevan Singh Shenelle Balliram Rachael Ramkissun |
| author_facet | Keevan Singh Shenelle Balliram Rachael Ramkissun |
| author_sort | Keevan Singh |
| collection | DOAJ |
| description | Mediastinal masses in pregnancy, although rare, can present with life threatening central airway obstruction if general anesthesia is required. In patients with central airway obstruction who are classified as being high risk for anesthesia, specific cardiothoracic interventions are usually required when there is no alternative to general anesthesia. We describe the case of a young female who presented in her second trimester with severe tracheal compression and worsening dyspnea secondary to a mediastinal mass. Intravenous dexamethasone was started, following which her symptoms improved and a drastic reduction in her tracheal compression was observed. The patient subsequently underwent successful vaginal delivery under epidural anesthesia. We discuss the complexities in perioperative decision making for this rare presentation and potential therapeutic options. |
| first_indexed | 2024-04-12T09:43:18Z |
| format | Article |
| id | doaj.art-9bc12ccfe2c545aa9dfea9ea104328a5 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-12T09:43:18Z |
| publishDate | 2021-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-9bc12ccfe2c545aa9dfea9ea104328a52022-12-22T03:38:01ZengElsevierBrazilian Journal of Anesthesiology0104-00142021-05-01713281284Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case reportKeevan Singh0Shenelle Balliram1Rachael Ramkissun2University of the West Indies, Department of Clinical Surgical Sciences, Anaesthesia and Intensive Care Unit, St Augustine, Trinidad; San Fernando General Hospital, Anaesthesia & Intensive Care Unit, San Fernando, Trinidad; Corresponding author.University of the West Indies, Department of Clinical Surgical Sciences, Anaesthesia and Intensive Care Unit, St Augustine, Trinidad; San Fernando General Hospital, Anaesthesia & Intensive Care Unit, San Fernando, TrinidadSan Fernando General Hospital, Anaesthesia & Intensive Care Unit, San Fernando, TrinidadMediastinal masses in pregnancy, although rare, can present with life threatening central airway obstruction if general anesthesia is required. In patients with central airway obstruction who are classified as being high risk for anesthesia, specific cardiothoracic interventions are usually required when there is no alternative to general anesthesia. We describe the case of a young female who presented in her second trimester with severe tracheal compression and worsening dyspnea secondary to a mediastinal mass. Intravenous dexamethasone was started, following which her symptoms improved and a drastic reduction in her tracheal compression was observed. The patient subsequently underwent successful vaginal delivery under epidural anesthesia. We discuss the complexities in perioperative decision making for this rare presentation and potential therapeutic options.http://www.sciencedirect.com/science/article/pii/S0104001421000269Tracheal compressionPregnancyMediastinal mass |
| spellingShingle | Keevan Singh Shenelle Balliram Rachael Ramkissun Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case report Brazilian Journal of Anesthesiology Tracheal compression Pregnancy Mediastinal mass |
| title | Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case report |
| title_full | Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case report |
| title_fullStr | Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case report |
| title_full_unstemmed | Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case report |
| title_short | Perioperative anesthesia management of a pregnant patient with central airway obstruction: a case report |
| title_sort | perioperative anesthesia management of a pregnant patient with central airway obstruction a case report |
| topic | Tracheal compression Pregnancy Mediastinal mass |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421000269 |
| work_keys_str_mv | AT keevansingh perioperativeanesthesiamanagementofapregnantpatientwithcentralairwayobstructionacasereport AT shenelleballiram perioperativeanesthesiamanagementofapregnantpatientwithcentralairwayobstructionacasereport AT rachaelramkissun perioperativeanesthesiamanagementofapregnantpatientwithcentralairwayobstructionacasereport |