F Mediastinoscopy
Mediastinoscopy involves passing a scope into the mediastinum via an incision above the suprasternal notch. The scope is passed anterior to the trachea in close proximity to the left common carotid artery, left subclavian artery, innominate artery, innominate veins, vagus nerve, left recurrent laryngeal nerve, thoracic duct, superior vena cava, and aortic arch.
2. Anesthetic technique
a) Large-bore IV access should be in place, and banked blood should be immediately available in the event of a tear in a major blood vessel, which is the most common severe complication.
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