Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review.

Leivaditis, Vasileios; Pavlakou, Afroditi; Grapatsas, Konstantinos; Mulita, Francesk; Koletsis, Efstratios; Papatriantafyllou, Athanasios; Galanis, Michail; Katsakiori, Paraskevi F; Skevis, Konstantinos; Nikolaidis, Eleftherios; Dahm, Manfred; Tasios, Konstantinos; Tchabashvili, Levan; Ehle, Benjamin; Baltayiannis, Nikolaos (2024). Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review. Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 21(1), pp. 47-54. Termedia Publishing House 10.5114/kitp.2024.138581

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The perioperative management of patients undergoing mediastinal mass operations presents a persistent challenge across multiple clinical specialties. General anesthesia administration further increases the risk of perioperative cardiorespiratory decompensation. The interdisciplinary team plays a crucial role in ensuring a safe perioperative period. However, due to the rarity and variability of mediastinal mass syndromes, specific management protocols are lacking. This review aims to outline the multitude of challenges and pitfalls encountered during perioperative management in patients with the mediastinal mass syndrome. We describe diagnostic evaluation, preoperative optimization, intraoperative considerations, and postoperative care strategies, emphasizing the paramount significance of a multidisciplinary approach and personalized treatment plans. Preoperative multidisciplinary discussions, meticulous anesthetic management, and well-established protocols for emergency situations are pivotal to ensuring patient safety. Healthcare providers involved in the care of patients with mediastinal mass syndrome must grasp these challenges and pitfalls, enabling them to deliver safe and effective perioperative management.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Galanis, Michail

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1731-5530

Publisher:

Termedia Publishing House

Language:

English

Submitter:

Pubmed Import

Date Deposited:

07 May 2024 13:16

Last Modified:

08 May 2024 04:06

Publisher DOI:

10.5114/kitp.2024.138581

PubMed ID:

38693982

Uncontrolled Keywords:

airway obstruction anesthetic management complications mediastinal mass syndrome perioperative management pitfalls

BORIS DOI:

10.48350/196456

URI:

https://boris.unibe.ch/id/eprint/196456

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