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Anaesthetic Management of a Patient with Large Thyroid with Retrosternal Extension up to Arch of Aorta with Tracheal Compression Posted for Total Thyroidectomy


Affiliations
1 K S Hegde Medical Academy, Mangaluru, India

Securing a definite airway for anaesthetic management in patients with tracheal compression is a real challenge to an anaesthetist. Many case reports illustrates acute airway compromise in the course of anaesthesia due to tumor related compression. We describe the anaesthetic management of a massive retrosternal goiter with severe intrathoracic tracheal narrowing scheduled for thyroidectomy.


Keywords

Retrosternal Goiter, Airway Compromise, Awake Fibreoptic Intubation, Airway Anaesthesia, Aspiration Technique.
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  • Peter Chee Seong Tan, Norzalina Esa. Anesthesia for massive retrosternal goiter with severe intrathoracic tracheal narrowing: the challenges imposed, Korean J Anesthesiol 2012 May 62(5): 474-78.
  • David C Chung, Phoebe-Anne Mainland, Andrew S Kong. Anesthesia of the airway by aspiration of lignocaine, CAN J ANESTH 1999/46:3/ 215-19

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  • Anaesthetic Management of a Patient with Large Thyroid with Retrosternal Extension up to Arch of Aorta with Tracheal Compression Posted for Total Thyroidectomy

Abstract Views: 119  | 

Authors

C. Sindhu
K S Hegde Medical Academy, Mangaluru, India
Anand Bangera
K S Hegde Medical Academy, Mangaluru, India
M. P. Nikhil
K S Hegde Medical Academy, Mangaluru, India
Varun Bhaskar
K S Hegde Medical Academy, Mangaluru, India

Abstract


Securing a definite airway for anaesthetic management in patients with tracheal compression is a real challenge to an anaesthetist. Many case reports illustrates acute airway compromise in the course of anaesthesia due to tumor related compression. We describe the anaesthetic management of a massive retrosternal goiter with severe intrathoracic tracheal narrowing scheduled for thyroidectomy.


Keywords


Retrosternal Goiter, Airway Compromise, Awake Fibreoptic Intubation, Airway Anaesthesia, Aspiration Technique.

References





DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP020