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2002, Number 3

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Rev Mex Anest 2002; 25 (3)

Factores predictores de complicaciones y mortalidad en el perioperatorio de pacientes con masas mediastinales

Oliva RSM, Corona HMA, Casas FL, Robledo PJC

Language: Spanish
References: 34
Page: 176-179
PDF size: 400.57 Kb.


ABSTRACT

Introduction: The patients with mediastinal masses that go through a surgical-anesthetic procedure have a high probability to show complications during perioperative. Objetive: To find respiratories or not independent variables that may predict complications on mediastinal masses patient that went into anesthetic-surgical procedure. Material and Methods: Clinical records of patients with mediastinal masses diagnostic and that they had gone into an anesthetic-surgical procedure in a period of 6 years, were checked clinical, radiograph ic, CT sean, pulmonary function test, echocardiography and during perioperative period issues were considered as independent variables or dependent variables like death or major complication were collected. Results: 31 records were checked, regarding gender 45.2%were males and 54.8% females, the relationship was 1:1.2. The predilection for particular regions of mediastinum were as follow, 51.6% anterior,25.8% middle and 22.6% posterior mediastinum, 58.1% were resection of the masses and 54.8% for diagnosis procedure. Death toll was 6.5% and 19.4%for major complications. The barely mentioned variables in the abstracts did not show any independence all together when they were included in the model. Conclusions: Patients that went into surgical anesthetic procedure showed a death toll of 6.5% and 19.4% for major complications. The superior vena cava syndrome was the most significant element for death, and vascular and heart compression for major complications.


REFERENCES

  1. l. Shamberg R. Holzman R, Griscom T.Tarbel N, Weinstein H. CT Quantitation of Tracheal Cross-Section Area as a Guíde to the Surgical and Anesthetic Management of Children with Anterior Mediastinal Masses j. Pediatríc Surg. 1991; 26 (2): 138-142.

  2. Shamberg R. Holzman R, Gríscorn T,Trabel N,Weinnstein H,Wohl M.Prospective Evaluatíon by ComputedTomography and Pulmonary Function Tests of Children with Mediastinal Masses Surgery. 1995;I 18:468-471.

  3. Northrip D, Bohman B,Tsueda K. Total Airway Occlusion and Superior Vena Cava Syndrome in a Child with Anterior Medistinal Tumor.Anesth Analg. 1986; 65: 1079-1082.

  4. Parkash U, Abel M, Hubmayr R, Mediastinal Mass and Tracheal Obstruction during General Anesthesia Mayo Clin Proc. 1988; 63: 1004-1011.

  5. Ferrari L, Bedford R. General Anesthesia prior to Treatment of Anterior Mediastinal Masses in Pediatric Cancer Patient Anesthesiology. 1990; 72:991-995.

  6. Neuman G.,Wingarten A,Abrmowitz R. Kushuns L,Abramson A. Lander W. The Anesthetic Management of the Patient with an Anterior Mediastinal Mass Anesthesiology. 1984;60: 144-7.

  7. Pullerits j, Holzman R, Anaesthesia for Patient with Mediastinal Masses Can j.Anaesth. 1989;36: 681-688.

  8. Roldan 1, Miró V,Martí SS,Almenar L,Martinez L.Sancho-Tello M, Doménech M. Diagnóstico por Ecocardiografia-Doppler de obstrucción al tacto de salida del ventriculo derecho por tumor mediastinico y su reversibilidad después del tratamiento Rev Esp Cardiol. 1996:49:477-479.

  9. Goh M, Liu X, Goh Y. Anterior Mediastinal Mass: an Anaesthetic Challenger Anaesthesia 1999; 64: 670-682.

  10. MakieA,Vvatson C.Anaesthesia and Mediastinal MassesAnaesthesia. 1984: 39: 899-903.

  11. Tempee D,Ayra R,Dubey S,Khanna S,Tomar A, GroverV, Nigam M, Makwane V. Mediastinal Mass Resection: Femorofemoral Cardiopulmonary Bypass befo re Induction of Anesthesia in the Managemen~of Airway Obstruction.J. Cardioth VascAnesth. 200 1;15 (2): 233-236.

  12. Robie D, Gursay ., Pokorny W. Mediastinal Tumor Airway Obstrucction and Management Seminar Pediatric Surg. 1994: 3: 259-266.

  13. Akhcar T, Ridley S, Best C. Unusual Presentation of Acute Upper Airway Obstruction Caused by an Anterior Mediastinai Mass Br J Anaesth. 1991: 67: 632-34.

  14. Azizkhan R,Dudgeon D,BuckJ. LifeThreateningAirway Obstruction as a Complication to the Management of Mediastinal Masses in Children J. Pediatric Surg 1985: 20: 816-822.

  15. Cone A.M, Stott S. Intermittent Airway Obstruction during Anaesthesia in a Patient with an Undiagnosed Anterior Mediastinal Mass.Anaesth Intensive Care. 1994: 22: 204-208.

  16. Furst Sh, Burrows P. Holzman R. General Anesthesia in a Child with a Dynamic,VascularAnterior Mediastinal MassAnesthesiology. 1996; 84: 976-979.

  17. Shamberger R. Preanesthetic Evaluation pf Children withAnterior Mediastinal Masses Seminar Pediatric Surg. 1999: 8 (2): 61-68.

  18. Shamberg R. Holzman R, Griscom T. Tarbel N, Weinstein H. CT Quantitation of Tracheal Cross-Section Area as a Guíde to the Surgical and Anesthetic Management of Children with Anterior Mediastinal Masses J. Pediatric Surg. 1991; 26(2): 138-142.

  19. Shamberg R. Holzman R, Griscom T, Trabel N, Weinnstein H, Wohl M. Prospective Evaluation by Computed Tomography and Pulmonary Function Tests of Children with Mediastinal Masses Surgery. 1995; 118:468-471.

  20. Northrip D, Bohman B, Tsueda K. Total Airway Occlusion and Superior Vena Cava Syndrome in a Child with Anterior Medistinal Tumor. Anesth Analg. 1986; 65: 1079-1082.

  21. Parkash U, Abel M, Hubmayr R, Mediastinal Mass and Tracheal Obstruction during General Anesthesia Mayo Clin Proc. 1988; 63: 1004-1011.

  22. Ferrari L, Bedford R. General Anesthesia prior to Treatment of Anterior Mediastinal Masses in Pediatric Cancer Patient Anesthesiology. 1990; 72:991-995.

  23. Neuman G., Wingarten A, Abrmowitz R. Kushuns L, Abramson A, Lander W. The Anesthetic Management of the Patient with an Anterior Mediastinal Mass Anesthesiology. 1984;60:144-7.

  24. Pullerits J, Holzman R, Anaesthesia for Patient with Mediastinal Masses Can J. Anaesth. 1989;36: 681-688.

  25. Roldan I, Miró V, Martí SS, Almenar L, Martinez L, Sancho-Tello M, Doménech M. Diagnóstico por Ecocardiografia-Doppler de obstrucción al tacto de salida del ventriculo derecho por tumor mediastinico y su reversibilidad después del tratamiento Rev Esp Cardiol. 1996:49:477-479.

  26. Goh M, Liu X, Goh Y. Anterior Mediastinal Mass: an Anaesthetic Challenger Anaesthesia 1999; 64: 670-682.

  27. MakieA,Vvatson C.Anaesthesia and Mediastinal MassesAnaesthesia. 1984: 39: 899-903.

  28. Tempee D, Ayra R, Dubey S, Khanna S, Tomar A, Grover V, Nigam M, Makwane V. Mediastinal Mass Resection: Femorofemoral Cardiopulmonary Bypass before Induction of Anesthesia in the Management of Airway Obstruction. J. Cardioth Vasc Anesth. 2001;15 (2): 233-236.

  29. Robie D, Gursay., Pokorny W. Mediastinal Tumor Airway Obstrucction and Management Seminar Pediatric Surg. 1994: 3: 259-266.

  30. Akhcar T, Ridley S, Best C. Unusual Presentation of Acute Upper Airway Obstruction Caused by an Anterior Mediastinai Mass Br J Anaesth. 1991: 67: 632-34.

  31. Azizkhan R, Dudgeon D, Buck J. Life Threatening Airway Obstruction as a Complication to the Management of Mediastinal Masses in Children J. Pediatric Surg 1985: 20: 816-822.

  32. Cone A.M, Stott S. Intermittent Airway Obstruction during Anaesthesia in a Patient with an Undiagnosed Anterior Mediastinal Mass. Anaesth Intensive Care. 1994: 22: 204-208.

  33. Furst Sh, Burrows P. Holzman R. General Anesthesia in a Child with a Dynamic, Vascular Anterior Mediastinal Mass Anesthesiology. 1996; 84: 976-979.

  34. Shamberger R. Preanesthetic Evaluation pf Children with Anterior Mediastinal Masses Seminar Pediatric Surg. 1999: 8(2): 61-68.




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