Mediastinoscopy

 

Mediastinoscopy is an invasive form of mediastinal diagnosis and staging. It requires general anaesthetic and has higher risks than most staging procedures.


  1. FBP - within last month unless intervening illness

  2. U&E - within last month unless intervening illness

  3. CXR - should be within last 24 hours

  4. ECG - within last month (unless < 40 years)

  5. CT scan it is imperative that the CT be in theatre during mediastinoscopy


Note: The patient must be able to lie absolutely flat for 30 minutes without developing dyspnoea, discomfort or discolouration. In patients with SVC obstruction, mediastinoscopy is usually contraindicated.