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Case Report

Challenging Airway Management in a Case of Massive Nodular Colloid Goitre: Case Report

Arale Sangappa Sadvi, Ravi Madhusudhana

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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Indian Journal of Anesthesia and Analgesia 11(2):p 83-86, April - June 2024. | DOI: https://doi.org/10.21088/ijaa.2349.8471.11224.5

How Cite This Article:

Sadvi AS, Madhusudhana R. Challenging airway management in a case of massive nodular colloid goitre: case report. Ind J Anesth Analg. 2024;11(2):83-6.

Timeline

Received : March 12, 2024         Accepted : June 22, 2024          Published : June 29, 2024

Abstract

Introduction: The term "goitre" describes an abnormal thyroid gland enlargement. Goiter prevalence ranges from 80% in iodine-deficient regions and 1%–4% in areas of affluent countries with abundant iodine. We anaesthesiologist face airway challenges while treating patients with severe neck swellings because tracheal intubation failure can have serious consequences for morbidity and mortality. Case Report: In this case we present a 40-year-old male which is a case of colloid goitre posted for total thyroidectomy. Pre anaesthetic evaluation done, shifted to OT, pre-medicated with standard drugs. Difficult bag and mask ventilation were faced during pre-oxygenation. Hence Awake VLS was done to visualize vocal cords. Patient was induced with standard drugs and VLS with Bougie assistance airway was secured with ET tube 8mm ID. Intraoperative vitals stable, Patient reversed after assessing all the extubation criteria. Patient extubated and shifted to post-op ward. Patient got discharged under stable condition on POD 14. Conclusion: In patients with goitres, difficult airways can be managed using a variety of strategies. We can proceed with conventional airway management if all the airway examination is within normal limits, and there is no tracheal compression or deviation. Awake intubation with video laryngoscopy is an ill-defined notion that largely depends on individual preference. In this case we have managed a case of neck swelling with awake VLS intubation.

References

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Data Sharing Statement

There are no additional data available.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

Information not provided.

Conflicts of Interest

The authors report no conflicts of interest in this work.

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Cite this article

Sadvi AS, Madhusudhana R. Challenging airway management in a case of massive nodular colloid goitre: case report. Ind J Anesth Analg. 2024;11(2):83-6.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

 This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
March 12, 2024 June 22, 2024 June 29, 2024
DOI: https://doi.org/10.21088/ijaa.2349.8471.11224.5

Keywords

Awake IntubationDifficult AirwayNodular Goitre

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Timeline

Received March 12, 2024
Accepted June 22, 2024
Published June 29, 2024

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

 This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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