Analysis of ICU Treatment on Resection of Giant Tumors in the Mediastinum of the Thoracic Cavity

Abstract

<br/><b>Objective</b>: The purpose of this study was to assess prognosis after resection of giant tumors (includinglobectomy or pneumonectomy) in the mediastinum. Materials and <br/><b>Methods</b>: Patients with resection of a gianttumor in the mediastinum of the thoracic cavity received ICU treatment including dynamic monitoring ofvital signs, arterial blood pressure and CVP detection, determination of hemorrhage, pulmonary function andblood gas assay, treatment of relevant complications, examination and treatment with fiber optic bronchoscopy,transfusion and hemostasis as well as postoperative removal of ventilators by invasive and non-invasivesequential mechanical ventilation technologies. <br/><b>Results</b>: Six patients were rehabilitated successfully after ICUtreatment with controlled postoperative errhysis and pulmonary infection by examination and treatmentwith fiber optic bronchoscopy without second application of ventilators and tubes after sequential mechanicalventilation technology. One patient died from multiple organ failure under ICU treatment due to postoperativeactive hemorrhage after second operative hemostasis. <br/><b>Conclusions</b>: During peri-operative period of resectionof giant tumor (including lobectomy or pneumonectomy) in mediastinum ofthe thoracic cavity, the ICU playsan important role in dynamic monitoring of vital signs, treatment of postoperative stress state, postoperativehemostasis and successful removal of ventilators after sequential mechanical ventilation.