Use of Video Laryngoscopy in a Patient with Huge Thyroid Mass: A Case Report
Abstract
Video laryngoscopy has opened its way into airway management and continues to play a larger role in managing patients with difficult airway. Anesthesiologists use video laryngoscopy more often every day and therefore accept the risks of more challenging and difficult airway situations with more confidence.
In the mentioned case below, a 45-year-old female with a large thyroid mass is presented to an academic based hospital, for elective thyroidectomy. The patient was intubated using a video laryngoscopy technique and the airway was secured.
Video laryngoscopy helps secure difficult airways and could be chosen as first line option in such situations.
[1] Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel A, O'sullivan EP, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015; 115(6):827-48.
[2] Fitzgerald E, Hodzovic I, Smith AF. ‘From darkness into light’: time to make awake intubation with videolaryngoscopy the primary technique for an anticipated difficult airway? Anaesthesia. 2015; 70(4):387-92.
[3] Malpas G, Hung O, Gilchrist A, Wong C, Kent B, Hirsch GM, Hart RD. The use of extracorporeal membrane oxygenation in the anticipated difficult airway: a case report and systematic review. Can J Anaesth. 2018; 65(6):685-97.
[4] Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database. Anaesthesia. 2015; 70(3):272-81.
[5] Heidegger T. Difficult Airway Society guidelines 2015: what about the anticipated difficult airway?. Anaesthesia. 2016; 71(4):467-8.
[6] Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004; 59(7):675-94.
[7] Niforopoulou P, Pantazopoulos I, Demestiha T, Koudouna E, Xanthos T. Video‐laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand. 2010; 54(9):1050-61.
[8] Baik FM, Zhu V, Patel A, Urken ML. Airway management for symptomatic benign thyroid goiters with retropharyngeal involvement: Need for a surgical airway with report of 2 cases. Otolaryngology Case Reports. 2018; 7:10-2.
[9] Paul M, Kannaujia A, Chatterjee A, Mayilvaganan S. Serial fiber optic bronchoscopy (FOB) to predict the need of tracheostomy in tracheomalacia after thyroidectomy in long standing goiter. J Clin Anesth. 2018; 47:9-10.
[10] Shamim F, Yahya M, Ikram M. Awake fiberoptic intubation in a patient with known difficult airway due to huge thyroid goiter. Anaesth Pain & Intensive Care 2017;21(1):94-97.
[11] De Piero ME, Fontana D, Quaglino F, Attisani M, Baroncelli F, Cavallo A, et al. Extracorporeal membrane oxygenation (ECMO)-assisted surgery for mediastinal goiter removal. J Cardiothorac Vasc Anesth. 2018; 32(1):448-51.
[2] Fitzgerald E, Hodzovic I, Smith AF. ‘From darkness into light’: time to make awake intubation with videolaryngoscopy the primary technique for an anticipated difficult airway? Anaesthesia. 2015; 70(4):387-92.
[3] Malpas G, Hung O, Gilchrist A, Wong C, Kent B, Hirsch GM, Hart RD. The use of extracorporeal membrane oxygenation in the anticipated difficult airway: a case report and systematic review. Can J Anaesth. 2018; 65(6):685-97.
[4] Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database. Anaesthesia. 2015; 70(3):272-81.
[5] Heidegger T. Difficult Airway Society guidelines 2015: what about the anticipated difficult airway?. Anaesthesia. 2016; 71(4):467-8.
[6] Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004; 59(7):675-94.
[7] Niforopoulou P, Pantazopoulos I, Demestiha T, Koudouna E, Xanthos T. Video‐laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand. 2010; 54(9):1050-61.
[8] Baik FM, Zhu V, Patel A, Urken ML. Airway management for symptomatic benign thyroid goiters with retropharyngeal involvement: Need for a surgical airway with report of 2 cases. Otolaryngology Case Reports. 2018; 7:10-2.
[9] Paul M, Kannaujia A, Chatterjee A, Mayilvaganan S. Serial fiber optic bronchoscopy (FOB) to predict the need of tracheostomy in tracheomalacia after thyroidectomy in long standing goiter. J Clin Anesth. 2018; 47:9-10.
[10] Shamim F, Yahya M, Ikram M. Awake fiberoptic intubation in a patient with known difficult airway due to huge thyroid goiter. Anaesth Pain & Intensive Care 2017;21(1):94-97.
[11] De Piero ME, Fontana D, Quaglino F, Attisani M, Baroncelli F, Cavallo A, et al. Extracorporeal membrane oxygenation (ECMO)-assisted surgery for mediastinal goiter removal. J Cardiothorac Vasc Anesth. 2018; 32(1):448-51.
| Files | ||
| Issue | Vol 6 No 1 (2020): Winter |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v6i1.2051 | |
| Keywords | ||
| Thyroid gland Difficult airway Video laryngoscopy | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Heroabadi A, Khazaei N, Baik A, Movafegh A, Azimaraghi O. Use of Video Laryngoscopy in a Patient with Huge Thyroid Mass: A Case Report. Arch Anesth & Crit Care. 2019;6(1):55-57.
