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Why does hemodynamic collapse often occur in patients with mediastinal masses post-induction of anesthesia?

a) Increased sympathetic tone
b) Compression of great vessels
c) Elevated intracranial pressure
d) Inadequate anesthesia depth

User Bohm
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Final answer:

Hemodynamic collapse in patients with mediastinal masses post-anesthesia is often due to the compression of great vessels, which can cause superior vena cava syndrome when muscle tone is reduced under anesthesia.

Step-by-step explanation:

Hemodynamic collapse often occurs in patients with mediastinal masses post-induction of anesthesia primarily due to compression of the great vessels. When a patient is under anesthesia, the muscle tone that normally helps to keep the vessels patent is reduced, making these patients more vulnerable to the physical effects of the mass. Due to mediastinal mass, the compression can lead to a significant decrease in cardiac output as the right atrium or the superior vena cava can be compressed, leading to a condition known as superior vena cava syndrome, which can be life-threatening. Venoconstriction, on the other hand, increases blood pressure within the vein, blood flow within the vein, and return of blood to the heart. Factors that can lead to a decreased transfer of oxygen to tissues include decreased body temperature, decreased blood pH, and increased carbon dioxide levels. A paralysis of the diaphragm would prevent inhalation because the intrapleural pressure would not change, indicating diaphragm's essential role in the respiratory process.

User Wahtever
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