Threading a Needle: Difficult Airway Management in a Patient With Obstructive Goiter
Large goiters can lead to a compressed and distorted airway, making endotracheal intubation a challenge. We report the airway management of a 66-year-old male undergoing total thyroidectomy for an enlarged substernal multinodular goiter measuring 6.4cm anteroposterior by 8.9cm transversally that significantly compressed the trachea. The chosen intubation technique was awake fiberoptic intubation requiring topical local anesthetic which proved to be successful. We will discuss indications for performing fiberoptic intubation, the techniques involved, and the possible challenges that might arise.
Eid K, Bolz E, Dakhlallah N, Asbahi MF, Soto RG. Threading a needle: difficult airway management in a patient with obstructive goiter. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.