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

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/fac...

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Bibliographic Details
Published in:Nigerian journal of surgery 2021-01, Vol.27 (1), p.66-70
Main Authors: Osinaike, Babatunde, Ogunsiji, Alaba, Joseph, Olufunke
Format: Article
Language:English
Subjects:
Case Report
difficult airway
Equipment and supplies
Fiber optics
Goiter
retrosternal goiter
rigid bronchoscope
Succinylcholine
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Summary: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.
ISSN:1117-6806
2278-7100
DOI:10.4103/njs.NJS_58_19