Modir H, Khalili M, Moshiri E. Emergency airway management in patient with severe tracheal obstruction due to a large tumor of the thyroid: a case report. J Arak Uni Med Sci 2012; 15 (5) :76-81
URL:
http://jams.arakmu.ac.ir/article-1-1302-en.html
1- arak university of medical science , he_modir@yahoo.com
2- arak university of medical science
Abstract: (9699 Views)
Background: Metastasis or compress effect of adjacent tumors and thyroid neoplasms are the most common causes for airway obstruction which may lead to emergent intubation or tracheostomy due to respiratory distress. Case: A 61 year-old, female patient with history of papillary cell carcinoma with metastasis to lung, trachea and vocal cords was referred to our hospital with complaint of dyspnea. In the early hours of hospital admission the patient suffered from attacks of apnea and gasping, and initial efforts to control the airway were performed immediately which were not successful. Then it was decided to perform broncoscopy and tracheostomy to provide a safe airway. Conclusion: In the absence of adequate equipment and emergency respiratory situation, it is better to provide a secure airway immediately. For this purpose, we can use low depth of anesthesia without use of muscle relaxants.
Type of Study:
Case Report |
Subject:
Anesthesia Received: 2011/08/30 | Accepted: 2011/12/25