Erschienen in:
30.08.2020 | Clinical Report
Airway Management in a Patient with Retrosternal Goiter: A Context-Sensitive Airway Management Strategy
verfasst von:
Shalvi Mahajan, MD, DM, Sekar L, Sanjay Kumar
Erschienen in:
Indian Journal of Otolaryngology and Head & Neck Surgery
|
Sonderheft 2/2022
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Abstract
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.