ABSTRACT

IJSR

International Journal of Scientific Research

2277 - 8179

Indian Society for Health and Advanced Research

ijsr-7-4-14993

Original Research Paper

Difficult airway challenges-intubation and extubation matters in a case of large goiter with retrosternal extension

GEETA

CHOUDHARY

Dr.

April 2018

7 4 01 02 ABSTRACT

Large thyroid masses with retrosternal extension present several potential difficulties for anesthetist. Anesthetic implication that includes difficult

airway management, uncontrolled hyperthyroidism or hypothyroidism and postthyroidectomy complications. Securing airway in such cases is

difficult and require skillful management. We present the anesthetic management in a patient with a large goiter with retrosternal extension leading

to tracheal compression and deviation. We managed the case with an awake fiberoptic intubation and guided extubation.