Anesthetic challenges of extrinsic trachea-bronchial compression due to posterior mediastinal mass: Our experience with a large esophageal mucocele

Saipriya Tewari; Puneet Goyal; Amit Rastogi; Aarti Agarwal; P K Singh

doi:10.4103/aca.ACA_194_16

Anesthetic challenges of extrinsic trachea-bronchial compression due to posterior mediastinal mass: Our experience with a large esophageal mucocele

Ann Card Anaesth. 2017 Jul-Sep;20(3):359-361. doi: 10.4103/aca.ACA_194_16.

Authors

Saipriya Tewari¹, Puneet Goyal¹, Amit Rastogi¹, Aarti Agarwal¹, P K Singh¹

Affiliation

¹ Department of Anesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Abstract

Large posterior mediastinal masses may lead threatening complications such as critical tracheobronchial compression. Airway management in these individuals is a challenge and being a lower airway obstruction; rescue strategies are limited. We encountered one such case of a large esophageal mucocele causing extrinsic tracheobronchial compression. We have described the anesthetic management of this case using awake fiber-optic assessment followed by intubation. Close communication with the surgical team, meticulous planning of airway management, and early drainage of the mucocele are the cornerstones of management in such patients.

Publication types

Case Reports

MeSH terms

Adolescent
Airway Management
Anesthesia*
Bronchial Diseases / diagnostic imaging
Bronchial Diseases / etiology
Bronchial Diseases / therapy*
Enteral Nutrition
Esophageal Neoplasms / complications
Esophageal Neoplasms / diagnostic imaging
Esophageal Neoplasms / surgery*
Esophagostomy
Female
Fiber Optic Technology
Humans
Jejunostomy
Mediastinal Neoplasms / complications
Mediastinal Neoplasms / diagnostic imaging
Mediastinal Neoplasms / surgery*
Mucocele / complications
Mucocele / diagnostic imaging
Mucocele / surgery*
Tomography, X-Ray Computed
Tracheal Diseases / diagnostic imaging
Tracheal Diseases / etiology
Tracheal Diseases / therapy*