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http://dx.doi.org/10.1136/tsaco-2020-000610 | DOI Listing |
Cureus
June 2025
Department of Anesthesiology and Intensive Care Medicine, Kochi Medical School, Kochi, JPN.
Posterior mediastinal tumors account for a small proportion of mediastinal tumors and are generally less likely to cause perioperative complications than anterior mediastinal tumors. However, large posterior mediastinal tumors or those adjacent to critical thoracic structures can complicate anesthesia management, especially when prone positioning and artificial pneumothorax (AP) are required during video-assisted thoracoscopic surgery. This case report details the successful perioperative management of a 64-year-old woman with a large posterior mediastinal tumor compressing the trachea and left main bronchus, undergoing tumor resection in the prone position.
View Article and Find Full Text PDFArtif Organs
August 2025
Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Background: Patients with pre-existing severe cardiovascular comorbidities are often deemed ineligible for potentially life-saving thoracic surgeries and are referred to other conservative therapies. However, this patient population may theoretically benefit from the timely perioperative implantation of temporary mechanical circulation support (tMCS) to both mitigate the surgical stress and stabilize hemodynamics. We performed a scoping review to summarize the evidence regarding the use of tMCS in thoracic surgery.
View Article and Find Full Text PDFFront Pediatr
March 2024
Division of Cardiovascular Surgery, The Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, ON, Canada.
Background: Cardiopulmonary failure refractory to medical management after moderate-to-high-risk congenital cardiac surgery may necessitate mechanical support with veno-arterial extracorporeal membrane oxygenation (ECMO). On the extreme, ECMO can also be initiated in the setting of cardiac arrest (extracorporeal cardiopulmonary resuscitation, ECPR) unresponsive to conventional resuscitative measures.
Methods: This was a single-center retrospective cohort study of patients ( = 510) aged <3 years old who underwent cardiac surgery with cardiopulmonary bypass with a RACHS-1 score ≥3 between 2011 and 2014.
BMJ Open
March 2024
Physiopathology and Epidemiology of Respiratory Diseases, UMR1152, INSERM and Université de Paris, Paris, France.
Artif Organs
June 2024
Department of Anesthesiology and Critical Care, University Hospital of Grenoble Alpes, Grenoble, France.
A 64-year-old patient required emergency surgery with high risk of intubation failure, without any possibility to perform neither a direct transtracheal access nor VV-ECMO canulation. The patient was managed thanks to a VA-ECMO despite the absence of cardiac function impairment. This report describes perioperative challenges and management of this unconventional case with favorable outcome.
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