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A Case Report And Review On The Anesthetic Considerations Of Anterior Mediastinal Masses, Carter A. Schulz, Joshua D. Mohs, Andrew M. Reuter

Aesculapius Journal (Health Sciences & Medicine)

Case summary: A 15-year-old female presented with chest pain, dyspnea, and weight loss. A chest X-ray and subsequent CT scan revealed a large anterior mediastinal mass with cervical lymphadenopathy and pericardial effusion. Two biopsies under general anesthesia were performed, with the latter confirming classic Hodgkin lymphoma, nodular sclerosis subtype.

Discussion: This case underscores the significant clinical challenges posed by anterior mediastinal masses due to their proximity to vital cardiovascular and respiratory structures. Physiologic changes during general anesthesia can exacerbate these challenges. Preoperative assessment, including imaging and symptom evaluation, is crucial to guide operative planning. It is key to individualize the …

Perioperative Anesthetics And Adjuvant Anxiolytic Approaches For Cataract Surgery Patients: Exploring Options, Levi Franz

Aesculapius Journal (Health Sciences & Medicine)

Cataract surgery is one of the most common surgeries performed worldwide. It has high rates of success and minimal adverse outcomes. In spite of the surgery’s effectiveness, patients frequently report perioperative anxiety. This anxiety is often treated with pharmacologic sedation; however, evidence suggests that this is unnecessary and can lead to poorer patient outcomes. There is evidence that other adjuvant therapies exist which can decrease perioperative anxiety and therefore the need for higher levels of pharmacologic sedation. This paper explores some of these adjuvant therapies, as well as current anesthetic technique used in cataract surgery.