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VOLUME 11 , ISSUE 1 ( January-March, 2022 ) > List of Articles


Case Report of Awake Nonintubated Anterior Mediastinal Mass Excision in a New Tertiary Care Institute

Ajay Kumar, Anshuman Darbari, Vikas Yadav, Rahul Sharma

Keywords : Awake anesthesia, awake thoracic surgery, epidural anesthesia, mediastinum

Citation Information : Kumar A, Darbari A, Yadav V, Sharma R. Case Report of Awake Nonintubated Anterior Mediastinal Mass Excision in a New Tertiary Care Institute. Indian J Respir Care 2022; 11 (1):77-79.

DOI: 10.4103/ijrc.ijrc_134_21

License: CC BY-NC-SA 4.0

Published Online: 06-12-2022

Copyright Statement:  Copyright © 2022; Indian Journal of Respiratory Care.


Perioperative management of anterior mediastinal mass may be difficult to manage for anesthesiologists as well as thoracic surgeons. General anesthesia is preferred approach for such surgeries, but there is the risk of compression of the trachea after induction. A more physiological and less invasive method is thoracic epidural anesthesia without endotracheal intubation. An anterior mediastinal mass was excised successfully in the fully awake patient under high thoracic epidural block in a tertiary care institute. This approach may be replicated further in the management of patients with compromised pulmonary reserve with a reduction of length of stay in intensive care unit and hospital.

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