Wheeze and mediastinal mass: a challenging patient.
Airway obstruction is a recognized complication in children with mediastinal masses. They typically present with difficulty in breathing and associated respiratory noises. General anaesthesia in these patients can lead to complete airway obstruction with fatal consequences. Successful management in the ED necessitates rapid recognition of the underlying problem and appropriate intervention. We report the case of a 7-year-old boy presenting with respiratory collapse and describe the management that led to successful resuscitation.
Heinz
Peter
P
Department of Paediatrics, University Hospital of Wales, Heath Park, Cardiff, Wales, UK. Peter.Heinz@health.wa.gov.au
Dunne
John
J
D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001853:Bone Marrow / Q000473:pathology; D002648:Child; D004635:Emergency Medicine / Q000379:methods*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D007945:Leukemia, Lymphoid / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D011859:Radiography; D012121:Respiration, Artificial / Q000379:methods; D012135:Respiratory Sounds / Q000209:etiology*; D016896:Treatment Outcome
D000970:Antineoplastic Agents