CASE REPORT
Year : 2013 | Volume
: 7 | Issue : 1 | Page : 86--89
Airway management of a difficult airway due to prolonged enlarged goiter using loco-sedative technique
Divya Srivastava, Sanjay Dhiraaj
Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Correspondence Address:
Divya Srivastava
Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh
India
Appropriate airway management is an essential part of anesthesiologist«SQ»s role. Huge goiters can lead to distorted airway and difficulty in endotracheal intubation. In this report, we present a case of a 67-year-old woman with a huge toxic multinodular thyroid swelling, gradually increasing in size for last 20 years, where trachea was successfully intubated. She had a history of deferred surgery in June 2007 due to inability to intubate, despite 5-6 attempts using different laryngoscopes, bougie, and stylet. Patient was re-admitted in December 2011 for the surgery and was successfully intubated this time with help of fiberoptic intubation using loco-sedative technique. Patient was electively kept intubated postoperatively in view of chances of tracheomalacia due to prolonged large goiter. She was extubated successfully on post-op day 2 after demonstration of leak around trachea following tracheal tube cuff deflation. The different techniques of managing the difficult airway in these patients are discussed.
How to cite this article:
Srivastava D, Dhiraaj S. Airway management of a difficult airway due to prolonged enlarged goiter using loco-sedative technique.Saudi J Anaesth 2013;7:86-89
|
How to cite this URL:
Srivastava D, Dhiraaj S. Airway management of a difficult airway due to prolonged enlarged goiter using loco-sedative technique. Saudi J Anaesth [serial online] 2013 [cited 2023 Mar 22 ];7:86-89
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=1;spage=86;epage=89;aulast=Srivastava;type=0 |
|
|
|
