• Paediatric anaesthesia · May 2014

    Case Reports

    Management of mediastinal syndromes in pediatrics: a new challenge of ultrasound guidance to avoid high-risk general anesthesia.

    • Chrystelle Sola, Olivier Choquet, Olivier Prodhomme, Xavier Capdevila, and Christophe Dadure.
    • Department of Anesthesia and Critical Care Medicine, Lapeyronie University Hospital, Montpellier, France.
    • Paediatr Anaesth. 2014 May 1; 24 (5): 534-7.

    AbstractAdverse events associated with anesthetic management of anterior mediastinal masses in pediatrics are common. To avoid an extremely hazardous general anesthesia, the use of real-time ultrasonography offers an effective alternative in high-risk cases. We report the anesthetic management including a light sedation and ultrasound guidance for regional anesthesia, surgical node biopsy, and placement of a central venous line in two children with an anterior symptomatic mediastinal mass. For pediatric patients with clinical and/or radiologic signs of airway compression, ultrasound guidance provides safety technical assistance to avoid general anesthesia and should be performed for the initial diagnostic and therapeutic procedures. © 2013 John Wiley & Sons Ltd.

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