[Respiratory management in a XXXX with severe @entity6184 caused by compression from the ascending @entity449 ].

@entity1 @entity449 @entity1353 @entity649 @entity1614 @entity6184 @entity177 @entity1576 @entity1875 @entity1286 @entity1363 @entity1168 @entity2849
In cases of tracheal compression by a mediastinal mass or @entity449 , muscle relaxant might induce fetal @entity177 . It is known to be valuable to keep spontaneous @entity1353 in these cases. A 42-years-old @entity1 complicated with @entity1614 had @entity1576 due to acute progression of @entity6184 caused by compression from the ascending and aortic @entity2849 . After the induction of general anesthesia for video-assisted thoracic surgery (VATS) for high-pneumothorax, she was placed in lateral position. Suddenly it became difficult to ventilate her and her oxygenation saturation declined with @entity1168 . We returned her to supine position and then could manage to ventilate her easier. But we could not maintain stable ventilation until her spontaneous @entity1353 appeared. VATS was cancelled and she was brought in to the ICU after extubation. In the ICU she developed @entity649 again soon and was reintubated under consciousness guided by bronchofiber scope. We managed successfully to keep spontaneous @entity1353 intact under proper sedation by three sedative drugs; @entity1875 , @entity1363 and @entity1286 for 5 days until the next operation. We realized the importance of maintaining spontaneous @entity1353 under proper sedation in a case of severe @entity6184 .
