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Int J Obstet Anesth · Aug 2018
Case ReportsRegional anaesthesia with extracorporeal membrane oxygenation backup for caesarean section in a parturient with neck and mediastinal masses.
- A Mahmood, M Mushambi, R Porter, and M Khare.
- Department of Anaesthesia, University Hospitals of Leicester, Leicester, UK. Electronic address: asifmahmood@doctors.org.uk.
- Int J Obstet Anesth. 2018 Aug 1; 35: 99-103.
AbstractMediastinal mass in pregnancy is a rare condition that presents significant anaesthetic challenges. We present a woman with relapsed Hodgkin's lymphoma during pregnancy who declined to have chemotherapy because of concerns for her unborn child. She failed to attend follow-up clinic appointments and presented at 33 weeks' gestation with tracheal deviation and narrowing down to the level of the carina, as a result of large neck and mediastinal masses. She required delivery of the baby to allow her to receive urgent chemotherapy. We describe successful management of a caesarean section under combined spinal-epidural anaesthesia, at which bilateral femoral vein access was gained in case of the need for urgent extracorporeal membrane oxygenation.Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.
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