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Management of airway compromise following thyroid cyst hemorrhage after thrombolytic therapy
Author(s) -
Gallant Sara C.,
Fritz Mark A.,
Paul Benjamin C.,
Costantino Peter D.
Publication year - 2015
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24841
Subject(s) - medicine , tracheotomy , airway , anesthesia , surgery , coagulopathy , thyroid , tissue plasminogen activator , airway obstruction
The risk of hemorrhage after therapeutic administration of tissue plasminogen activator (tPA) is well known. Cases of postadministration hemorrhage have been reported within many organ systems. We present a case of a 62‐year‐old female with undiagnosed thyroid goiter who received tPA for acute ischemic stroke and developed acute airway compromise. The surgical airway response team was called due to inability to ventilate or intubate. An incision into the mass during attempted tracheotomy released colloid and blood, decompressing the airway and facilitating ventilation and intubation. Hemithyroidectomy for mass removal was delayed for 3 days to allow normalization of post‐tPA coagulopathy. Laryngoscope , 125:604–607, 2015