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Indian Journal of Clinical Anaesthesia
Year : 2018, Volume : 5, Issue : 3
First page : ( 453) Last page : ( 456)
Print ISSN : 2394-4781. Online ISSN : 2394-4994.
Article DOI : 10.18231/2394-4994.2018.0085

Retrosternal goitre: Anaesthetic implications and management

Choudhary Nitin1,*, Kumar Abhijit2, Wadhawan Sonia3, Bhadoria Poonam4, Panwar Vishnu5

1Senior Resident, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

2PG Student, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

3Director Professor, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

4Director Professor, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

5Specialist, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

*Corresponding Author: Email: drnitinchoudhary@yahoo.in

Online published on 3 January, 2019.

Abstract

Large retrosternal goitre is a challenge to the anaesthesiologist and the surgeon. We describe the successful anaesthetic management of a 44 year old male patient with extensive retrosternal goitre with severe tracheal compression, operated for total thyroidectomy under general anaesthesia by combined cervical approach and sternotomy. A multidisciplinary team approach with surgical colleagues allowed successful management of the patient.

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Keywords

Retrosternal goitre, Thyroidectomy, Sternotomy, Awake fibreoptic intubation.

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