Vueghs PJ, Schurink GA, Vaes L, Langemeyer JJ. Anesthesia in repeat mediastinoscopy: a retrospective study of 101 patients.
J Cardiothorac Vasc Anesth 1992;
6:193-5. [PMID:
1568006 DOI:
10.1016/1053-0770(92)90197-f]
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Abstract
In most medical textbooks, a mediastinoscopy is considered an absolute contraindication for a repeat mediastinoscopy. Retrospectively, perioperative data from 101 patients were evaluated in whom repeat mediastinoscopy was performed. The complication rate was 23% in 18 patients; 10% of these were directly related to the surgery. The surgical complications observed were hemorrhage, biopsy of the esophagus, paresis of a recurrent laryngeal nerve, and pneumothorax, which were all treated successfully. The patients receiving a nondepolarizing relaxant had fewer complications than patients given only a single dose of succinylcholine. In this patient population, the mortality rate was zero. This review concludes that an earlier mediastinoscopy is not necessarily an absolute contraindication for repeat mediastinoscopy.
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