| CASE REPORT |
|
| Year : 2021 | Volume
: 27
| Issue : 1 | Page : 66-70 |
|
|
Challenging airway management in a patient with retrosternal goiter presenting in respiratory distress
Babatunde B Osinaike1, Alaba O Ogunsiji2, Olufunke C Joseph2
1 Department of Anaesthesia, University of Ibadan/ University College Hospital, Ibadan, Nigeria
2 Department of Anaesthesia, University College Hospital, Ibadan, Nigeria
Correspondence Address:
Dr. Alaba O Ogunsiji
Department of Anaesthesia, University College Hospital, Ibadan
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/njs.NJS_58_19
|
|
|
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.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
