title: Analysis of ICU treatment on resection of giant tumors in the mediastinum of the thoracic cavity.
abstract: OBJECTIVE
  The purpose of this study was to assess prognosis after resection of giant tumors (including lobectomy or pneumonectomy) in the mediastinum.
  
  
  METHODS
  Patients with resection of a giant tumor in the mediastinum of the thoracic cavity received ICU treatment including dynamic monitoring of vital signs, arterial blood pressure and CVP detection, determination of hemorrhage, pulmonary function and blood gas assay, treatment of relevant complications, examination and treatment with fiber optic bronchoscopy, transfusion and hemostasis as well as postoperative removal of ventilators by invasive and non-invasive sequential mechanical ventilation technologies.
  
  
  RESULTS
  Six patients were rehabilitated successfully after ICU treatment with controlled postoperative errhysis and pulmonary infection by examination and treatment with fiber optic bronchoscopy without second application of ventilators and tubes after sequential mechanical ventilation technology. One patient died from multiple organ failure under ICU treatment due to postoperative active hemorrhage after second operative hemostasis.
  
  
  CONCLUSIONS
  During peri-operative period of resection of giant tumor (including lobectomy or pneumonectomy) in mediastinum of the thoracic cavity, the ICU plays an important role in dynamic monitoring of vital signs, treatment of postoperative stress state, postoperative hemostasis and successful removal of ventilators after sequential mechanical ventilation.
authors.affiliation: Department of ICU, Beijing Chest Hospital Affiliated to Capital Medical University, Beijing, China. hanyeecn@163.com
authors.forename: Nai-Min
authors.initials: NM
authors.lastname: Kang
authors.forename: Ning
authors.initials: N
authors.lastname: Xiao
authors.forename: Xiao-Jun
authors.initials: XJ
authors.lastname: Sun
authors.forename: Yi
authors.initials: Y
authors.lastname: Han
authors.forename: Bao-Jian
authors.initials: BJ
authors.lastname: Luo
authors.forename: Zhi-Dong
authors.initials: ZD
authors.lastname: Liu
mesh_terms: D062186:Arterial Pressure; D001999:Bronchoscopy; D005500:Follow-Up Studies; D006490:Hemostatics; D006801:Humans; D007362:Intensive Care Units; D008479:Mediastinal Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D008991:Monitoring, Physiologic; D011013:Pneumonectomy; D011184:Postoperative Period; D011379:Prognosis; D012143:Respiratory Physiological Phenomena; D013899:Thoracic Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D015300:Ventilator Weaning; D055986:Vital Signs
chemical_list: D006490:Hemostatics