Korean J Anesthesiol.  2010 Apr;58(4):396-400. 10.4097/kjae.2010.58.4.396.

Anesthetic consideration for patients with severe tracheal obstruction caused by thyroid cancer: A report of 2 cases

Affiliations
  • 1Department Anesthesiology and Pain Medicine, Hanyang Medical Center, Hanyang University College of Medicine, Seoul, Korea. macheong@hanyang.ac.kr

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.

Keyword

Difficult intubation; Thyroid cancer; Tracheal obstruction

MeSH Terms

Airway Management
Humans
Intubation, Intratracheal
Thyroid Gland
Thyroid Neoplasms
Trachea
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