학술논문

Anesthetizing a child for a large compressive mediastinal mass with distraction techniques and music therapies as the sole agents.
Document Type
Journal Article
Source
Journal of Clinical Anesthesia. Dec2016, Vol. 35, p392-397. 6p.
Subject
*ANESTHETICS
*MUSIC therapy
*MEDICATION safety
*CARDIOPULMONARY system physiology
*MEDIASTINUM
*THERAPEUTICS
*ANESTHESIA
*AUDIOVISUAL materials
*MUSIC
MEDIASTINAL tumors
Language
ISSN
0952-8180
Abstract
Anesthetic management of the child with an anterior mediastinal mass is challenging. The surgical/procedural goal typically is to obtain a definitive tissue diagnosis to guide treatment; the safest approach to anesthesia is often one that alters cardiorespiratory physiology the least. In severe cases, this may translate to little or no systemic sedatives/analgesics. Distraction techniques, designed to shift attention away from procedure-related pain (such as counting, listening to music, non-procedure-related talk), may be of great benefit, allowing for avoidance of pharmaceuticals. In this report, we present an approach in children where the anesthetic risk is deemed excessive. [ABSTRACT FROM AUTHOR]