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Anterior Mediastinal Mass: Worst Case Scenarios

In these Worst Case Scenario videos, I'll run through examples of viva style exam scenarios where I ask all the tricky questions and outline many of the challenging situations you may be asked about in a particular case. This is for anaesthesia trainees sitting the ANZCA part 2 exam but I feel it could be really valuable for anyone doing their anaesthesia training to gain an insight into some of the more complex aspects of our job. Specifics for anaesthesia for anterior mediastinal mass: 1) Important of diagnosis prior to intervention 2) Assessment of resp compromise, cardiovascular compromise, 5Ms (see frameworks video) 3) Don't rush to GA 4) 3 groups of patients severe sx and severe compromise = preanaesthesia ECMO mild symptoms and minor compromise = spont vent induction, lower limb iv art line, patient prepped and draped for immediate sternotomy 5) resp or cvs crisis = treat the usual causes of these AND then awaken patient manoeuvre to least symptomatic position for resp = rigid bronch for cvs/resp = sternotomy and lift mass off structures Please post any comments or questions below. Check out www.anaesthesiacollective.com and sign up to the ABCs of Anaesthesia facebook group for other content. Email me at [email protected] good luck! Disclaimer: This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information in this course is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant This document was created using a Contractology template available at http://www.contractology.com. Informed consent was gained from the patient where relevant

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