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

Authors :
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
Source :
Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska. 2024, Vol. 21 Issue 1, p47-54. 8p.
Publication Year :
2024

Abstract

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17315530
Volume :
21
Issue :
1
Database :
Academic Search Index
Journal :
Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska
Publication Type :
Academic Journal
Accession number :
177170044
Full Text :
https://doi.org/10.5114/kitp.2024.138581