Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre

A 46-year-old woman was anesthetized for total thyroidectomy. The thyroid was massive, deviating the trachea to the right and causing attenuation of the trachea radiologically. She had symptoms of respiratory obstruction in the supine position. Awake FOB-guided intubation was done in sitting positio...

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Detalles Bibliográficos
Autores principales: Saxena, Kirti Nath, Kumar, Sudhir, Taneja, Bharti, Gaba, Prachi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350089/
https://www.ncbi.nlm.nih.gov/pubmed/22606386
http://dx.doi.org/10.1155/2011/352672
Descripción
Sumario:A 46-year-old woman was anesthetized for total thyroidectomy. The thyroid was massive, deviating the trachea to the right and causing attenuation of the trachea radiologically. She had symptoms of respiratory obstruction in the supine position. Awake FOB-guided intubation was done in sitting position after airway topicalisation, and the airway was intubated with difficulty with 7.0 mm cuffed orotracheal tube. We describe this case in detail and discuss the significance of careful approach to planning and preparation in the management of such a case.

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