Anesthetic consideration for patients with severe tracheal obstruction caused by thyroid cancer: A report of 2 cases.
10.4097/kjae.2010.58.4.396
- Author:
Joong Woon CHO
1
;
Mi Ae JEONG
;
Jin Hwa CHOI
;
Joo Won CHO
;
Hee Jong LEE
;
Dong Won KIM
;
Kyo Sang KIM
;
Jung Kook SEO
Author Information
1. Department Anesthesiology and Pain Medicine, Hanyang Medical Center, Hanyang University College of Medicine, Seoul, Korea. macheong@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Difficult intubation;
Thyroid cancer;
Tracheal obstruction
- MeSH:
Airway Management;
Humans;
Intubation, Intratracheal;
Thyroid Gland;
Thyroid Neoplasms;
Trachea
- From:Korean Journal of Anesthesiology
2010;58(4):396-400
- CountryRepublic of Korea
- Language:English
-
Abstract:
To achieve safe airway management, it is essential first to predict whether there will be difficulties in intubating or ventilating the patient's airway. An enlarged thyroid mass can produce a tracheal obstruction by compression or intraluminal invasion or both. We report two patients with thyroid cancer that obstructed the trachea by compression or invasion. There was no difficulty in endotracheal intubation of the patients with marked thyroid enlargement or in securing passage of the endotracheal tube through the compressed or narrowed portion of the trachea.