Awake fiberoptic intubation in a patient with known difficult airway due to huge thyroid goiter

  • Faisal Shamim Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, Karachi, (Pakistan)
  • Muhammad Yahya Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, Karachi, (Pakistan))
  • Mubasher Ikram Department of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, (Pakistan)
Keywords: Goiter, Difficult airway, Awake, fiberoptic intubation

Abstract

Thyroid enlargement or goiter has been considered a risk factor for difficulty in airway management during anesthesia and surgery. Moderate to huge size along with retro-sternal extension makes it an anticipated difficult airway scenario. In this report, we present a case of huge goiter with compression symptoms and patient cannot be intubated by conventional direct laryngoscopy at a district hospital a week ago. CT scan revealed extension of mass into superior mediastinum compressing right brachiocephalic vein and superior vena cava. We successfully performed awake fiberoptic intubation with local/topical anesthesia of airway. We have discussed the significance of careful approach, planning and preparation in the management of such a case.

 
Published
01-20-2019
How to Cite
Shamim, F., Yahya, M., & Ikram, M. (2019). Awake fiberoptic intubation in a patient with known difficult airway due to huge thyroid goiter. Anaesthesia, Pain & Intensive Care, 94-97. Retrieved from https://mail.apicareonline.com/index.php/APIC/article/view/145
Section
Case Reports