Amin Molly, Sanghvi Swetha, Atlas Glen, Eloy Jean Daniel.
Mediastinal masses naturally pose a certain degree of challenge to anesthesiologists. Specifically, incidental mediastinal masses discovered in an acute setting, such as during a trauma, prove to be even more challenging. Our case report describes anesthetic considerations and acute pain management in a trauma patient with a large incidental anterior mediastinal mass in need of an urgent orthopedic intervention. The types of mediastinal masses, the risks/benefits of regional versus neuraxial techniques, and the safety concerns for general anesthesia are also discussed.View pdf