Anaesthetic Management of a Patient with Thyroid Carcinoma: A Case Report of a Complex Perioperative Course
Thyroid carcinoma is a rare but aggressive malignancy that poses significant challenges for anaesthesiologists. The anaesthetic considerations for these patients are multifaceted, involving careful evaluation of airway management, cardiovascular stability, and postoperative care. It requires meticul...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/21018/79415_CE[Ra1]_F(SL)_QC(PS_SS)_PF1(VD_SS)_PFA(IS)_PN(IS).pdf |
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| Summary: | Thyroid carcinoma is a rare but aggressive malignancy that poses significant challenges for anaesthesiologists. The anaesthetic considerations for these patients are multifaceted, involving careful evaluation of airway management, cardiovascular stability, and postoperative care. It requires meticulous planning, precise technique, and close monitoring to ensure optimal outcomes. A thorough understanding of the unique challenges posed by thyroid cancer is essential for anaesthesiologists to provide high-quality care. Hereby, the authors present a case report of a 52-year-old female patient with a large thyroid carcinoma who presented with a difficult airway in which awake fibreoptic intubation was successfully used to secure the airway. Despite meticulous surgical resection of the mass under general anaesthesia, the patient experienced an accidental vascular injury to an aberrant neck vessel, which led to severe bleeding. Even with optimal anaesthetic management, including judicious fluid and blood transfusion, the patient developed delayed postoperative complications and unfortunately succumbed to death 15 days later. The present case highlights the complexities and challenges involved in the anaesthetic management of patients with thyroid carcinoma. It emphasises the need for careful preoperative planning, meticulous intraoperative management, and vigilant postoperative care to optimise patient outcomes. |
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| ISSN: | 2249-782X 0973-709X |