1
|
Catalán Escudero P, Uriarte Valiente M, Morató Robert P, Souto Romero H, Olavi IP, Martínez García E. Anesthetic management during anterior mediastinal mass resection in a pediatric patient. A case report. ACTA ACUST UNITED AC 2019; 67:39-43. [PMID: 31776014 DOI: 10.1016/j.redar.2019.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 09/18/2019] [Accepted: 09/26/2019] [Indexed: 11/24/2022]
Abstract
Complications induced by general anesthesia (GA) and neuromuscular relaxation (NMR) in anterior mediastinal mass (AMM) resection can be serious, especially when there are signs of compression of the airway or large vessels (dyspnea, orthopnea, etc.) (1). It is preferable to perform the procedure in spontaneous ventilation to avoid respiratory or cardiovascular collapse due to the supine position or to loss of negative intrathoracic pressure with GA and NMR. If the supine position and NMR are unavoidable, procedures should be performed in a step-wise manner, and rescue strategies should be prepared (rescue position, bronchoscope, sternotomy). Correct preoperative evaluation, adequate planning, and a multidisciplinary approach will ensure patient safety. We present the case of a child with a history of severe orthopnea and a diagnosis of AMM and lymphoblastic lymphoma (respiratory arrest and cardiovascular collapse during sedation for lumbar puncture and bone marrow biopsy) that did not respond to medical treatment and required resection surgery under GA with NMR.
Collapse
Affiliation(s)
- P Catalán Escudero
- Anestesiología, Reanimación y Terapia del Dolor, Hospital Infantil Universitario Niño Jesús, Madrid, España.
| | - M Uriarte Valiente
- Anestesiología, Reanimación y Terapia del Dolor, Hospital Infantil Universitario Niño Jesús, Madrid, España
| | - P Morató Robert
- Cirugía Pediátrica, Hospital Infantil Universitario Niño Jesús, Madrid, España
| | - H Souto Romero
- Cirugía Pediátrica, Hospital Infantil Universitario Niño Jesús, Madrid, España
| | - I P Olavi
- Anestesiología y Reanimación, Hospital Universitario de Canarias, Tenerife, España
| | - E Martínez García
- Anestesiología, Reanimación y Terapia del Dolor, Hospital Infantil Universitario Niño Jesús, Madrid, España
| |
Collapse
|
2
|
Urrutia-Maldonado E, Abril-Molina A, Alés-Palmer M, Gómez-Luque JM, Muñoz de Rueda P, Ocete-Hita E. Lesión hepática inducida por quimioterapia en niños. An Pediatr (Barc) 2019; 91:256-263. [DOI: 10.1016/j.anpedi.2019.01.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 12/28/2018] [Accepted: 01/09/2019] [Indexed: 01/19/2023] Open
|
3
|
Urrutia-Maldonado E, Abril-Molina A, Alés-Palmer M, Gómez-Luque JM, Muñoz de Rueda P, Ocete-Hita E. Chemotherapy-induced liver injury in children. An Pediatr (Barc) 2019. [DOI: 10.1016/j.anpede.2019.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
|
4
|
Gaytan-Morales F, Alejo-Gonzalez F, Reyes-Lopez A, Palomo M, Rodriguez-Romo L, Villareal-Martínez L, Sandoval-González A, Lopez-Facundo A, Tejocote-Romero I, Cárdenas-Cardos R, Aguilar-Ortiz M, Arreguin-Gonzalez F, Baños-Rodriguez E, Cortes-Alva D, Ellis-Irigoyen A, García-Becerra G, Rodriguez-Campos M, Gonzalez-Montalvo P, Gonzalez-Ramella O, Olaya-Vargas A. Pediatric mature B-cell NHL, early referral and supportive care problems in a developing country. Hematology 2018; 24:79-83. [DOI: 10.1080/10245332.2018.1510087] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- Felix Gaytan-Morales
- Servicio de Oncología, Hospital Infantil de México, Dr. Federico Gómez., Cuauhtémoc, México City, México
| | | | - Alfonso Reyes-Lopez
- Centro para Estudios Economicos y Sociales en Salud, Hospital Infantil de México, Cuauhtémoc, México City, México
| | - Miguel Palomo
- Servicio de Oncología, Hospital Infantil de México, Dr. Federico Gómez., Cuauhtémoc, México City, México
| | - Laura Rodriguez-Romo
- Canadian Cancer Trials Group, Queen’s University, Kingston, ON, Canada
- Centro Universitario Contra el Cáncer, Hospital Universitario U.A.N.L, Monterrey, NL, México
| | | | | | | | | | | | | | - Farina Arreguin-Gonzalez
- Servicio de Oncología Pediátrica, Centro Medico Nacional 20 de Noviembre ISSSTE, Mexico City, México
| | - Eduardo Baños-Rodriguez
- Servicio de Oncología Pediátrica, Centro Medico Nacional 20 de Noviembre ISSSTE, Mexico City, México
| | | | - Andrea Ellis-Irigoyen
- Servicio de Oncología Hospital Infantil Teletón de Oncología, Santiago de Querétaro, México
| | | | | | | | | | | | | |
Collapse
|