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Anaesthetic challenges for a patient with huge superior mediastinal mass in prone position
  1. Tat Boon Yeap1,
  2. Ming Kai Teah2,
  3. Astrie Kamalia Mohd Ramly3 and
  4. Chin Pei Bong4
  1. 1Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  2. 2Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  3. 3Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia
  4. 4Department of Orthopaedic Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}


Anaesthesia for patients with huge mediastinal mass is very challenging due to the cardiorespiratory embarrassment that may occur. We present a patient with this condition, which was complicated by total airway obstruction, intraoperatively. We discuss the importance of patient positioning and the role of spontaneous ventilation.

  • anaesthesia
  • ear
  • nose and throat/otolaryngology
  • spinal cord
  • CNS cancer

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  • Contributors TBY was the anaesthetist in charge of the patient during surgery. AKMR was the senior anaesthetic registrar and in charge of data collection for the patient. MKT was the coauthor of this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.