Abstract
Airway management in retrosternal goitre with documented tracheal compression can pose several difficulties. Currently awake fibreoptic bronchoscope guided intubation seems to be the standard airway management option. But sometimes even this option can have its own flaws which calls for alternative options. Here we suggest an alternative approach to such an anticipated difficult airway.
Highlights
Editor, The “best” method for managing a difficult airway is a subjective matter
Difficult airway cart and above-mentioned equipment was kept ready in the operation theatre
A 7mm ID cuffed endotracheal tube (ETT) was passed till the tip of tube was at the level of vocal cords
Summary
The “best” method for managing a difficult airway is a subjective matter. This implies that there are several “best” methods for each case and it boils down to the concerned anaesthetist to choose one. Plan A was intravenous induction, depolarizing neuromuscular blockade, quick fibreoptic bronchoscopy and FOB guided intubation. Plan B was to bring the patient back to spontaneous breathing, perform an awake or sedated FOB guided intubation and plan C was rigid bronchoscopy and jet ventilation. Plan D included a high tracheostomy or cardiopulmonary bypass.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
