Management of mediastinal syndromes in pediatrics: a new challenge of ultrasound guidance to avoid high-risk general anesthesia.
Adverse events associated with anesthetic management of anterior mediastinal masses in pediatrics are common. To avoid an extremely hazardous general anesthesia, the use of real-time ultrasonography offers an effective alternative in high-risk cases. We report the anesthetic management including a light sedation and ultrasound guidance for regional anesthesia, surgical node biopsy, and placement of a central venous line in two children with an anterior symptomatic mediastinal mass. For pediatric patients with clinical and/or radiologic signs of airway compression, ultrasound guidance provides safety technical assistance to avoid general anesthesia and should be performed for the initial diagnostic and therapeutic procedures.
['Sola|Chrystelle|C|', 'Choquet|Olivier|O|', 'Prodhomme|Olivier|O|', 'Capdevila|Xavier|X|', 'Dadure|Christophe|C|']
D000293:Adolescent D000577:Amides D000768:Anesthesia, General D000779:Anesthetics, Local D002405:Catheterization, Central Venous D002572:Cervical Plexus D066008:Cervical Plexus Block D002648:Child D006801:Humans D008297:Male D008477:Mediastinal Diseases D012306:Risk D000077212:Ropivacaine D021701:Sentinel Lymph Node Biopsy D013577:Syndrome D018084:Ultrasonography, Interventional
mediastinal syndromes ultrasound guidance regional anesthesia pediatrics anesthesia