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Year : 2021  |  Volume : 27  |  Issue : 1  |  Page : 66-70

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

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njs.NJS_58_19

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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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