A ‘can’t intubate, can’t oxygenate’ situation during an elective redo thyroid surgery; successful rescue and the lessons learnt

Anaesthesia, Pain & Intensive Care

article

Danushi Ashani Jayaweera¹  Anuja Abayadeera²  Vihara Dassanayake² 

[1] Senior Registrar in Anesthesiology, National Hospital of Sri Lanka;Department of Anesthesiology & Critical Care, Faculty of Medicine, University of Colombo

关键词: Adult;    Airway Management;    Difficult Airway;    Humans;    Intubation;    Intratracheal;    Male;    Morbidity / trends;    Postoperative Complications / epidemiology;    Thyroid Diseases / surgery;   

DOI  :  10.35975/apic.v26i5.1984

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

Pre-operative assessment of a patient for routine redo thyroidectomy requires a detailed airway assessment, clear documentation and formulation of an appropriate airway management plan by the anesthetist. Failure to identify problems related to oxygenation and ventilation during surgery will cause grave consequences to the patient and an unpleasant experience to the anesthetist and the surgeon. Redo thyroid surgery can be challenging. There is a possibility of preoperative vocal cord palsy due to previous surgical insult and infiltration by tumour recurrence, that can lead to difficulty in ventilation following induction of anesthesia. Therefore, it is mandatory to perform a detailed assessment of the airway using conventional as well as the advanced techniques.

【 授权许可】

CC BY-NC