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首页> 外文期刊>Current opinion in anaesthesiology >Management of the patient with a large anterior mediastinal mass: recurring myths.
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Management of the patient with a large anterior mediastinal mass: recurring myths.

机译：前纵隔大块患者的治疗：反复出现的神话。

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摘要

PURPOSE OF REVIEW: This editorial review summarizes the current anesthetic management of patients with anterior mediastinal masses. RECENT FINDINGS: With increased appreciation of the correct intraoperative management of these cases severe intraoperative respiratory or cardiovascular collapse is less likely to occur during general anesthesia. Maintenance of spontaneous ventilation is the anesthetic goal whenever possible. Major life-threatening complications now occur more frequently postoperatively. SUMMARY: General anesthesia is not safe in patients with severe positional symptoms from an anterior mediastinal mass. With modern imaging techniques, general anesthesia is rarely needed for diagnostic procedures in these patients. Preoperative flow-volume loops are not useful in the management of these patients and the concept of cardiopulmonary bypass on 'standby' is not appropriate during induction of anesthesia.
机译：审查的目的：这篇社论综述总结了纵隔前肿块患者目前的麻醉管理。最近的发现：随着对这些病例正确的术中处理方法的认识的提高，在全身麻醉期间不太可能发生严重的术中呼吸或心血管衰竭。尽可能保持自发通气是麻醉的目标。现在，严重的危及生命的并发症在术后更常见。摘要：从前纵隔肿块出现严重位置症状的患者，全身麻醉并不安全。使用现代成像技术，这些患者的诊断过程几乎不需要全身麻醉。术前血流循环对这些患者的治疗无用，并且在麻醉诱导期间不宜在“待命”时进行体外循环的概念。

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