Successful airway management with awake videolaryngoscopy for rare thyroid cancer with grade III goitre and intra-tracheal invasion [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-13333

Successful airway management with awake videolaryngoscopy for rare thyroid cancer with grade III goitre and intra-tracheal invasion

Faisal Shamim1, Iqra Jangda1, Mubasher Ikram2
1Department Of Anaesthesiology, Aga Khan University Hospital
2Section Of Otorhinolaryngology And Head & Neck Surgery, Department Of Surgery, Aga Khan University Hospital.

We described a case of anticipated difficult intubation in which access to airway is limited both due to external and internal factors. Our patient presented with a large goiter, shortness of breath and mild stridor. Clinical examination and investigations were carried out. An intratracheal subglottic mass reported on positron emission tomography (PET) scan that was almost occluding the lumen. The clinical diagnosis was intratracheal thyroid cancer invasion. For patients with large thyroid cancer, airway management can be complicated by both regional invasion and intrathoracic extension, due to mass effect on the airway and major vessels. It has great potential for complete airway obstruction after induction of general anaesthesia. We aim to discuss the meticulous planning and preparation for intubation in a conscious patient using different options of airway management especially when fiberoptic intubation fails and awake videolaryngoscopy made a rescue.

Keywords: Airway, Videolaryngoscopy, Thyroid Cancer, Goiter, Awake




Corresponding Author: Faisal Shamim, Pakistan


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