Mediastinal Masses & the Anticipated Difficult Airway

Document Type

Conference Proceeding

Publication Date



An 89 year old female with PMH of HTN, Alzheimer’s dementia, and seizure disorder presented to the ED after an unwitnessed mechanical fall. In the ED, the patient was found to have a left intertrochanteric femur fracture. The anesthesiology service was consulted for a fragility fracture where work-up revealed a large mediastinal mass with significant tracheal deviation and esophageal dilation. Orthopedic surgery took the patient to the OR for insertion of cephalomedullary nail performed under combined spinal-epidural anesthesia. Today we will discuss the differential diagnosis of mediastinal masses and the anesthetic considerations & alternatives for the anticipated difficult airway.


American Society of Anesthesiologists Annual Meeting, October 12-16, 2023, San Francisco, CA