Risk of Bilateral Vocal Cord Paralysis in Patient WIth Metastatic Papillary Thyroid Cancer

Document Type

Conference Proceeding

Publication Date

10-20-2024

Abstract

A 53-year-old female with metastatic papillary thyroid cancer underwent total thyroidectomy and central neck dissection. In the post-anesthesia care unit (PACU), she developed stridor, restlessness, and breathing difficulties. Initial treatment with racemic epinephrine neb failed. Hydrocortisone and Versed were administered, but symptoms persisted. ENT consultation revealed bilateral vocal cord paralysis and airway obstruction. The patient was re-intubated and transferred to the surgical intensive care unit (SICU) for further management. Despite initial stabilization, she required re-intubation after failed extubation attempts. This case highlights the challenges of managing postoperative airway complications in thyroid cancer patients, necessitating multidisciplinary intervention and vigilant monitoring.

Comments

American Society of Anesthesiologists Annual Meeting, October 18-22, 2024, Philadelphia, PA

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