Retrosternal Goitre-An Anaesthetic Challenge

Autor:	Shaila S Kamath, Shilpa A Naik, NP Pratiksha
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	awake intubation difficult intubation tracheal narrowing tracheomalacia Medicine
Zdroj:	Journal of Clinical and Diagnostic Research, Vol 13, Iss 2, Pp UD01-UD03 (2019)
Druh dokumentu:	article
ISSN:	2249-782X 0973-709X
DOI:	10.7860/JCDR/2019/38445.12565
Popis:	Airway management of patients undergoing thyroidectomy for Retrosternal Goitre (RSG) poses a unique challenge. Associated comorbidities, manipulation of the airway by the surgeons, airway compromise during induction, intubation, intraoperative and postoperative period can contribute to adverse events. We describe anaesthetic management of a patient with long standing goitre for 61 years with retrosternal extension with tracheal narrowing and compression for thyroidectomy. We secured the airway in an awake, spontaneously breathing patient under topical anaesthesia and sedation using direct laryngoscopy. Airway management of RSG is challenging at every phase of anaesthesia. Maintaining airway patency, vigilance and preparedness are keys to the success of intubation.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/62fa58b6fb8b4086a7159e88d65dd54e Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF