Anesthetizing a child for a large compressive mediastinal mass

J Clin Anesth · Dec 2016

Case Reports

Anesthetizing a child for a large compressive mediastinal mass with distraction techniques and music therapies as the sole agents.

Anesthetic management of the child with an anterior mediastinal mass is challenging. The surgical/procedural goal typically is to obtain a definitive tissue diagnosis to guide treatment; the safest approach to anesthesia is often one that alters cardiorespiratory physiology the least. ⋯ Distraction techniques, designed to shift attention away from procedure-related pain (such as counting, listening to music, non-procedure-related talk), may be of great benefit, allowing for avoidance of pharmaceuticals. In this report, we present an approach in children where the anesthetic risk is deemed excessive.

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- Adam C Adler, Emily R Schwartz, Jennifer M Waters, and Paul A Stricker.
- Assistant Professor of Cardiovascular Anesthesiology, Texas Children's Hospital, Houston, TX; Department of Anesthesiology, Perioperative and Pain Medicine, Baylor College of Medicine, Houston, TX. Electronic address: axadler@texaschildrens.org.
- J Clin Anesth. 2016 Dec 1; 35: 392-397.
AbstractAnesthetic management of the child with an anterior mediastinal mass is challenging. The surgical/procedural goal typically is to obtain a definitive tissue diagnosis to guide treatment; the safest approach to anesthesia is often one that alters cardiorespiratory physiology the least. In severe cases, this may translate to little or no systemic sedatives/analgesics. Distraction techniques, designed to shift attention away from procedure-related pain (such as counting, listening to music, non-procedure-related talk), may be of great benefit, allowing for avoidance of pharmaceuticals. In this report, we present an approach in children where the anesthetic risk is deemed excessive.Copyright © 2016 Elsevier Inc. All rights reserved.

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Anesthetizing a child for a large compressive mediastinal mass with distraction techniques and music therapies as the sole agents.

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