AWAKE FIBREOPTIC BRONCHOSCOPY IN THE MANAGEMENT OF HUGE MULTINODULAR GOITRE WITH RETROSTERNAL EXTENSION

Author:

V. Mampilly Omana.1,Ramesh Bhokare Himangi2

Affiliation:

1. Senior Resident Anaesthesiology

2. Assistant Professor Anaesthesiology

Abstract

Multinodular goitre is a common endocrine disorder affecting people worldwide. The challenges can be encountered preoperatively, intraoperatively, and postoperatively. Achieving a euthyroid status and airway management – preoperatively; Cardiac arrythmias, haemorrhage and thyroid storm- intraoperatively; haemorrhage, laryngeal edema, nerve palsies, tracheomalacia, hypocalcaemia-postoperatively. The awake breoptic intubation with light sedation has a more safety margin while managing such cases

Publisher

World Wide Journals

Subject

General Medicine,Psychiatry and Mental health,Nutrition and Dietetics,Endocrinology, Diabetes and Metabolism,Internal Medicine,Family Practice,Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Pulmonary and Respiratory Medicine,General Medicine,General Medicine,Care Planning,Public Health, Environmental and Occupational Health,Animal Science and Zoology,Nature and Landscape Conservation,Animal Science and Zoology,Ecology, Evolution, Behavior and Systematics

Reference6 articles.

1. Khatawkar A V. Multi-nodular goiter: Epidemiology, Etiology, Pathogenesis and Pathology. Int Arch Integr Med. 2015;2(9):152–6.

2. Jit S, Bajwa S, Sehgal V. Review Article Anesthesia and thyroid surgery : The never ending challenges. 2015;(March 2013).

3. Srivastava D, Dhiraaj S. Airway management of a difficult airway due to prolonged enlarged goitre using loco-sedative technique. Saudi J Anaesth. 2013 Jan;7(1):86-9. doi: 10.4103/1658-354X.109829. PMID: 23717240; PMCID: PMC3657934.

4. Orozco-Diaz E, Alvarez-Rios JJ, Arceo-Diaz JL, Ornelas-Aguirre JM. Predictive factors of difficult airway with known assessment scales. Cir Cir. 2010;78(5):393-9.

5. DAS intubation guidelines

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