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APRIL 16, 2025

The Frost Series: Anesthetic Approach for Resection of a Large Retrosternal Goiter

Dane Saksa, MD
Assistant Professor
Sonali Nayak, MD
Resident Physician
UCLA Department of Anesthesiology
Los Angeles
Editor: Karen Sibert, MD

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The patient with a large anterior mediastinal mass should prompt caution on the part of any anesthesia professional. Complications associated with general anesthesia and muscle relaxation in a patient with a significant mediastinal mass include airway collapse via external tracheobronchial compression, decreased venous return, and reduction in cardiac output