Challenging airway management in a patient with retrosternal goiter presenting in respiratory distress

Autor: Babatunde B Osinaike, Alaba O Ogunsiji, Olufunke C Joseph
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Nigerian Journal of Surgery, Vol 27, Iss 1, Pp 66-70 (2021)
Druh dokumentu: article
ISSN: 1117-6806
DOI: 10.4103/njs.NJS_58_19
Popis: A number of options exist for patients with anticipated difficult intubation on account of a retrosternal goiter compressing on the trachea. The chosen technique(s) to secure the airway in this delicate situation often depends on the location and degree of airway obstruction, available resources/facilities, and an anesthetist's experience and preferences. We report the case of a 68-year-old woman with severe airway obstruction from a retrosternal goiter coming for total thyroidectomy. Airway management started with an awake fiber-optic intubation, proceeded to a tracheostomy and finally to use of a rigid bronchoscope following failure of the earlier techniques to achieve adequate ventilation.
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