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

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 positio...

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Main Authors: Kirti Nath Saxena, Sudhir Kumar, Bharti Taneja, Prachi Gaba
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2011/352672
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author Kirti Nath Saxena
Sudhir Kumar
Bharti Taneja
Prachi Gaba
author_facet Kirti Nath Saxena
Sudhir Kumar
Bharti Taneja
Prachi Gaba
author_sort Kirti Nath Saxena
collection DOAJ
description 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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publishDate 2011-01-01
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series Case Reports in Anesthesiology
spelling doaj-art-92327c96047b4a06a24c2dee3cbb85452025-08-20T02:10:01ZengWileyCase Reports in Anesthesiology2090-63822090-63902011-01-01201110.1155/2011/352672352672Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge GoitreKirti Nath Saxena0Sudhir Kumar1Bharti Taneja2Prachi Gaba3Department of Anesthesiology, Maulana Azad Medical College and Associated Hospitals, B-302 Geetanjali Apartments, Vikas Marg Extension, New Delhi 110092, IndiaDepartment of Anesthesiology, Maulana Azad Medical College and Associated Hospitals, B-302 Geetanjali Apartments, Vikas Marg Extension, New Delhi 110092, IndiaDepartment of Anesthesiology, Maulana Azad Medical College and Associated Hospitals, B-302 Geetanjali Apartments, Vikas Marg Extension, New Delhi 110092, IndiaDepartment of Anesthesiology, Maulana Azad Medical College and Associated Hospitals, B-302 Geetanjali Apartments, Vikas Marg Extension, New Delhi 110092, IndiaA 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.http://dx.doi.org/10.1155/2011/352672
spellingShingle Kirti Nath Saxena
Sudhir Kumar
Bharti Taneja
Prachi Gaba
Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre
Case Reports in Anesthesiology
title Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre
title_full Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre
title_fullStr Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre
title_full_unstemmed Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre
title_short Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre
title_sort awake fibreoptic intubation in the sitting position in a patient with a huge goitre
url http://dx.doi.org/10.1155/2011/352672
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