Awake fiberoptic intubation in a patient with known difficult airway due to huge thyroid goiter
Anaesthesia, Pain and Intensive Care. 2017; 21 (1): 94-97
em Inglês
| IMEMR
| ID: emr-187469
ABSTRACT
Thyroid enlargement or goiter has been considered a risk factor for difficulty in airway management during anaesthesia and surgery. Moderate to huge size along with retro-sternal extension makes it an anticipated difficult airway scenario. In this report, we present a case of huge goiter with compression symptoms and patient cannot be intubated by conventional direct laryngoscopy at a district hospital a week ago. CT scan revealed extension of mass into superior mediastinum compressing right brachiocephalic vein and superior vena cava. We successfully performed awake fiberoptic intubation with local/topical anaesthesia of airway. We have discussed the significance of careful approach, planning and preparation in the management of such a case
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Tecnologia de Fibra Óptica
/
Bócio
Tipo de estudo:
Relato de Casos
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Anaesth. Pain Intensive Care
Ano de publicação:
2017
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