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Airway Obstruction by a Metastatic Mediastinal Tumor During Anesthesia.

Author(s): Sheng-Huan Chen | Jee-Ching Hsu | Ping-Wing Lui | Chih-Hung Chen | Ching-Yue Yang

Journal: Chang Gung Medical Journal
ISSN 2072-0939

Volume: 28;
Issue: 04;
Start page: 258;
Date: 2005;
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Keywords: mediastinal tumor | airway obstruction | lung cancer | tracheal stenosis.

A case of low back pain syndrome was diagnosed due to spinal metastasis withunknown primary origin. During anesthesia for surgical stabilization, unexpected airwayobstruction occurred after endotracheal intubation. Fiber-optic bronchoscopic examinationshowed narrowing of the trachea and main bronchi caused by extrinsic compression. Afteradministration of neostigmine to reverse neuromuscular blockade, the patient resumed spontaneousbreath. Airway obstruction was relieved thereafter. The extrinsic lesion was diagnosedas mediastinal lung cancer. The mechanism and management of this airway compromisecaused by mediastinal tumor is discussed.
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