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Anaesthetic Management of a Patient with Large Thyroid with Retrosternal Extension up to Arch of Aorta with Tracheal Compression Posted for Total Thyroidectomy
Securing a definite airway for anaesthetic management in patients with tracheal compression is a real challenge to an anaesthetist. Many case reports illustrates acute airway compromise in the course of anaesthesia due to tumor related compression. We describe the anaesthetic management of a massive retrosternal goiter with severe intrathoracic tracheal narrowing scheduled for thyroidectomy.
Keywords
Retrosternal Goiter, Airway Compromise, Awake Fibreoptic Intubation, Airway Anaesthesia, Aspiration Technique.
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- Peter Chee Seong Tan, Norzalina Esa. Anesthesia for massive retrosternal goiter with severe intrathoracic tracheal narrowing: the challenges imposed, Korean J Anesthesiol 2012 May 62(5): 474-78.
- David C Chung, Phoebe-Anne Mainland, Andrew S Kong. Anesthesia of the airway by aspiration of lignocaine, CAN J ANESTH 1999/46:3/ 215-19
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