Mediastinoscopy
Mediastinoscopy
Mediastinoscopy is an invasive form of mediastinal diagnosis and staging. It requires general anaesthetic and has higher risks than most staging procedures.
•FBP - within last month unless intervening illness
•U&E - within last month unless intervening illness
•CXR - should be within last 24 hours
•ECG - within last month (unless < 40 years)
•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.