Anesthetic challenges in a large multinodular thyroidectomy at a peripheral hospital

Anaesthesia, Pain & Intensive Care

ARTICLE

Mobeen Ikram¹  SairaMahboob² 

[1] Classified Anesthesiologist Combined Military Hospital;Graded Anesthesiologist Combined Military Hospital

关键词: Airway Management;    Intubation;    Intratracheal;    Endotracheal;    Arrhythmias;    Cardiac;    Bradycardia;    Carotid sinus;    Pressoreceptors;    Difficult airway;    Hypotension;    Goiter;    Nodular;   

DOI  :  10.35975/apic.v23i3.1141

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

We present a case of large multinodular goiter with retrosternal extension scheduled for thyroidectomy under general anesthesia (GA). We anticipated difficult airway due to tracheal compression as well as perioperative hemodynamic instability. She had had hyperthyroidism previously, which had been treated successfully. We planned and prepared to encounter airway problems in the light of Difficult Airway Society guidelines. After counselling and consent, her upper airways were sprayed with local anesthetic solution. Awake, flexible fiberoptic nasal intubation was performed and GA was induced. She had two episodes of bradycardia and hypotension peri-operatively, which were treated with inj atropine. Tracheostomy was performed in anticipation of tracheomalacia, which was de-cannulated on 3rd postoperative day. She was discharged on 4th post-operative day.

【 授权许可】

CC BY-NC