A rapidly advancing mediastinal mass - Overcoming tracheobronchial obstruction

Ian Frost*, Rob Ross-Russell, Sam Bass, Amos Burke

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We report the case of a 7-year-old boy who presented with rapidly advancing airway obstruction secondary to mediastinal T-cell nonHodgkins lymphoma. His brisk deterioration required transfer to the pediatric intensive care unit and intubation of the trachea. Unforeseen unilateral bronchial involvement led to gas trapping and critical pulmonary hyperinflation. Endobronchial advancement of the tracheal tube beyond the bronchial obstruction relieved pulmonary hyperinflation but subsequent one lung ventilation was poorly tolerated. We report the manufacture of a proximal 'Murphy's eye' which allowed ventilation of the contralateral lung to proceed. To the best of our knowledge this is the first time that this technique has been described in a pediatric patient.

Original languageEnglish
Pages (from-to)893-896
Number of pages4
JournalPaediatric Anaesthesia
Volume17
Issue number9
DOIs
Publication statusPublished - Sept 2007

Keywords

  • Airway obstruction: nonHodgkin's lymphoma
  • Mediastinal mass: hyperinflation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Anesthesiology and Pain Medicine

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