Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review

Vasileios Leivaditis; Afroditi Pavlakou; Konstantinos Grapatsas; Francesk Mulita; Efstratios Koletsis; Athanasios Papatriantafyllou; Michail Galanis; Paraskevi F. Katsakiori; Konstantinos Skevis; Eleftherios Nikolaidis; Manfred Dahm; Konstantinos Tasios; Levan Tchabashvili; Benjamin Ehle; Nikolaos Baltayiannis

doi:10.5114/kitp.2024.138581

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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1/2024
vol. 21

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abstract:

Letter to the Editor

Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review

Vasileios Leivaditis

¹

,

Afroditi Pavlakou

²

,

Konstantinos Grapatsas

³

,

Francesk Mulita

⁴

,

Efstratios Koletsis

⁵

,

Athanasios Papatriantafyllou

¹

,

Michail Galanis

⁶

,

Paraskevi F. Katsakiori

⁷

,

Konstantinos Skevis

⁸

,

Eleftherios Nikolaidis

⁹

,

Manfred Dahm

¹

,

Konstantinos Tasios

⁴

,

Levan Tchabashvili

⁴

,

Benjamin Ehle

¹⁰

,

Nikolaos Baltayiannis

⁹

Department of Cardiothoracic and Vascular Surgery, WestpfalzKlinikum, Kaiserslautern, Germany
Department of Anesthesiology, Metaxa Cancer Hospital, Piraeus, Greece
Department of Thoracic Surgery and Thoracic Endoscopy, University Medicine Essen – Ruhrland Clinic, Essen, Germany
Department of Surgery, General University Hospital of Patras, Patras, Greece
Department of Cardiothoracic Surgery, University Hospital of Patras, Patras, Greece
Department of Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Health Centre of Akrata, Akrata, Greece
Department of Thoracic Surgery, General Hospital of Rhodes, Rhodes, Greece
Department of Thoracic Surgery, Metaxa Cancer Hospital, Piraeus, Greece
Department of Thoracic Surgery, Asklepios Lung Clinic Munich-Gauting, Gauting, Germany

Kardiochirurgia i Torakochirurgia Polska 2024; 21 (1): 47-54

DOI: https://doi.org/10.5114/kitp.2024.138581

Online publish date: 2024/03/30

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AMA

Leivaditis V, Pavlakou A, Grapatsas K, et al. Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2024;21(1):47-54. doi:10.5114/kitp.2024.138581.

APA

Leivaditis, V., Pavlakou, A., Grapatsas, K., Mulita, F., Koletsis, E.,  & Papatriantafyllou, A. et al. (2024). Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 21(1), 47-54. https://doi.org/10.5114/kitp.2024.138581

Chicago

Leivaditis, Vasileios, Afroditi Pavlakou, Konstantinos Grapatsas, Francesk Mulita, Efstratios Koletsis, Athanasios Papatriantafyllou,  and Michail Galanis et al. 2024. "Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 21 (1): 47-54. doi:10.5114/kitp.2024.138581.

Harvard

Leivaditis, V., Pavlakou, A., Grapatsas, K., Mulita, F., Koletsis, E., Papatriantafyllou, A., Galanis, M., Katsakiori, P., Skevis, K., Nikolaidis, E., Dahm, M., Tasios, K., Tchabashvili, L., Ehle, B.,  and Baltayiannis, N. (2024). Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 21(1), pp.47-54. https://doi.org/10.5114/kitp.2024.138581

MLA

Leivaditis, Vasileios et al. "Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 21, no. 1, 2024, pp. 47-54. doi:10.5114/kitp.2024.138581.

Vancouver

Leivaditis V, Pavlakou A, Grapatsas K, Mulita F, Koletsis E, Papatriantafyllou A et al. Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2024;21(1):47-54. doi:10.5114/kitp.2024.138581.

PlumX metrics:

The perioperative management of patients undergoing mediastinal mass operations presents a persistent challenge across multiple clinical specialties. General anesthesia administration further increases the risk of perioperative cardiorespiratory decompensation. The interdisciplinary team plays a crucial role in ensuring a safe perioperative period. However, due to the rarity and variability of mediastinal mass syndromes, specific management protocols are lacking. This review aims to outline the multitude of challenges and pitfalls encountered during perioperative management in patients with the mediastinal mass syndrome. We describe diagnostic evaluation, preoperative optimization, intraoperative considerations, and postoperative care strategies, emphasizing the paramount significance of a multidisciplinary approach and personalized treatment plans. Preoperative multidisciplinary discussions, meticulous anesthetic management, and well-established protocols for emergency situations are pivotal to ensuring patient safety. Healthcare providers involved in the care of patients with mediastinal mass syndrome must grasp these challenges and pitfalls, enabling them to deliver safe and effective perioperative management.

keywords:

Challenges and pitfalls in the perioperative management of mediastinal mass syndrome: an up-to-date review

complications, anesthetic management, airway obstruction, perioperative management, pitfalls, mediastinal mass syndrome