AIRWAY MANAGEMENT IN LARGE THYROID MASS

Abstract

Difculty with intubation will be seen in enlarged thyroid gland producing tracheal deviation, compression, or both. General anaesthesia in such cases are very risky as it may precipitate complete airway collapse and make mask ventilation and tracheal intubation impossible. We used different preparation of lignocaine in various concentrations for anaesthetizing the airway. Inj. Midazolam and fentanyl as sedatives. The combined use of local anaesthesia and mild sedation provided a calm relaxed environment, so smooth intubation was possible without any respiratory compromise. The safe options of airway management left in our case was: awake fiberoptic intubation