Turkish Journal of Anaesthesiology & Reanimation
CASE REPORT

Successful Airway Management Using Awake Videolaryngoscopy for a Rare Thyroid Cancer with Grade III Goitre and Intra-Tracheal Invasion

1.

Department of Anaesthesiology, Aga Khan University Hospital, Karachi, Pakistan

2.

Section of Otorhinolaryngology and Head and Neck Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan

Turk J Anaesthesiol Reanim 2020; 48: 156-159
DOI: 10.5152/TJAR.2019.13333
Read: 437 Downloads: 205 Published: 06 December 2019

In the present report, we described a case of anticipated difficult intubation in which the access to airway was limited due to external and internal factors. Our patient presented with a large goitre, shortness of breath and mild stridor. A clinical examination and investigations were performed. An intra-tracheal subglottic mass visible on a positron emission tomography scan was nearly occluding the lumen. The clinical diagnosis was thyroid cancer with intra-tracheal invasion. For patients with a large thyroid cancer, airway management can be complicated, using both regional invasion and intrathoracic extension, due to the effect of the mass on the airway and major vessels. This approach has a great potential for leading to complete airway obstruction after the induction of general anaesthesia. Here, we aimed to discuss the meticulous planning and preparation for the intubation of a conscious patient using different procedures of airway management, especially when the fibreoptic intubation failed and awake videolaryngoscopy salvaged the situation.

Cite this article as: Shamim F, Jangda I, Ikram M. Successful Airway Management Using Awake Videolaryngoscopy for a Rare Thyroid Cancer with Grade III Goitre and Intra-Tracheal Invasion. Turk J Anaesthesiol Reanim 2020; 48(2): 156-9.

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