Airway Management in a Patient with Retrosternal Goiter: A Context-Sensitive Airway Management Strategy.
Awake FOB
FOB
Retrosternal goiter
Stridor
Tracheal compression
Tracheal narrowing
Journal
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
ISSN: 2231-3796
Titre abrégé: Indian J Otolaryngol Head Neck Surg
Pays: India
ID NLM: 9422551
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
22
05
2020
accepted:
18
08
2020
entrez:
1
12
2022
pubmed:
2
12
2022
medline:
2
12
2022
Statut:
ppublish
Résumé
Retrosternal extension of the goiter can cause compression of the trachea, esophagus and major blood vessels. Airway management is indeed a challenge in patients with airway obstructive signs and symptoms and it is based on the severity of the patient's clinical symptoms, availability of airway equipments, familiarity and expertise. We encountered a patient with retrosternal goiter with tracheal compression, presented for surgery required pediatric Fiber-Optic Bronchoscope (FOB) for securing the airway. A 45 year female patient presented with a swelling in front of the neck for 6 months. Recently, she developed intermittent stridor which was aggravated by lying supine. In computed tomography, there was a retrosternal extension of thyroid gland into superior mediastinum causing tracheal compression and narrowing (80%). Awake fiber-optic intubation with paediatric FOB was used to secure the airway before induction of anaesthesia. Paediatric FOB can be useful to secure airway in patients with tracheal compression and narrowing.
Identifiants
pubmed: 36452762
doi: 10.1007/s12070-020-02083-6
pii: 2083
pmc: PMC9701988
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2214-2216Informations de copyright
© Association of Otolaryngologists of India 2020.
Déclaration de conflit d'intérêts
Conflict of interestNo potential conflict of interest relevant to this article is reported.
Références
Q J Med. 1990 Feb;74(274):177-88
pubmed: 2345786
Am J Respir Crit Care Med. 1998 Jun;157(6 Pt 1):1885-91
pubmed: 9620923
Ann R Coll Surg Engl. 1991 Jan;73(1):32-5
pubmed: 1996861
Anesth Essays Res. 2017 Jan-Mar;11(1):110-116
pubmed: 28298767
Korean J Anesthesiol. 2012 May;62(5):474-8
pubmed: 22679546
Case Rep Anesthesiol. 2019 Dec 5;2019:1327482
pubmed: 31885930
Anesth Essays Res. 2015 May-Aug;9(2):247-50
pubmed: 26417136
Anaesthesia. 2011 Sep;66(9):828-36
pubmed: 21486272