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{
    "pk": 970,
    "title": "Young Man with Cardiac Arrest Secondary to Undiagnosed Mediastinal Mass: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: \nA 20-year-old man with a reported history of asthma presented to the emergency department in cardiac arrest presumed to be caused by respiratory failure. \nCase Report: \nThe patient was discovered to have central airway obstruction and concomitant superior vena cava compression caused by a large mediastinal mass—a condition termed mediastinal mass syndrome. While the patient regained spontaneous circulation after endotracheal intubation, he was challenging to ventilate requiring escalating interventions to maintain adequate ventilation.\n \nConclusion: \nWe describe complications of mediastinal mass syndrome and an approach to resuscitation, including ventilator adjustments, patient repositioning, double-lumen endotracheal tubes, specialty consultation, and extracorporeal life support.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Mediastinal Mass"
        },
        {
            "word": "mediastinal mass syndrome"
        },
        {
            "word": "cardiac arrest"
        },
        {
            "word": "superior vena  cava syndrome."
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3592087v",
    "frozenauthors": [
        {
            "first_name": "Ian",
            "middle_name": "",
            "last_name": "Mallett",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Bjorn",
            "middle_name": "",
            "last_name": "Watsjold",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Anne",
            "middle_name": "K.",
            "last_name": "Chipman",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2021-01-12T18:29:17-05:00",
    "date_accepted": "2021-01-12T18:29:17-05:00",
    "date_published": "2021-01-12T18:29:55-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/970/galley/718/download/"
        }
    ]
}