Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre | Zendy

Kirti N Saxena | Zendy; Sudhir Kumar | Zendy; Bharti Taneja | Zendy; Prachi Gaba | Zendy

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Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre

Author(s) -

Kirti N Saxena,

Sudhir Kumar,

Bharti Taneja,

Prachi Gaba

Publication year - 2011

Publication title -

case reports in anesthesiology

Language(s) - English

Resource type - Journals

eISSN - 2090-6390

pISSN - 2090-6382

DOI - 10.1155/2011/352672

Subject(s) - medicine , supine position , sitting , intubation , airway , anesthesia , airway obstruction , orotracheal intubation , prone position , surgery , pathology

A 46-year-old woman was anesthetized for total thyroidectomy. The thyroid was massive, deviating the trachea to the right and causing attenuation of the trachea radiologically. She had symptoms of respiratory obstruction in the supine position. Awake FOB-guided intubation was done in sitting position after airway topicalisation, and the airway was intubated with difficulty with 7.0 mm cuffed orotracheal tube. We describe this case in detail and discuss the significance of careful approach to planning and preparation in the management of such a case.

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