Perioperative Management of Obese Patient with a large Thyroid Swelling: A Case Report
Journal Title: JOURNAL OF MEDICAL COLLEGE CHANDIGARH - Year 2018, Vol 8, Issue 2
Abstract
Anaesthetic management of patients with large thyroid swelling is always challenging. Moreover, if patient is obese it makes the airway management more difficult. In addition, these patients tend to desaturate very fast due to decreased functional residual capacity. So, the primary goal is to secure airway in these patients with minimum airway 2complications. We are describing the case of a 62 year old female with body mass index (BMI) of 38 kg/m who presented with a large thyroid swelling. Patient was planned for total thyroidectomy. Airway examination revealed short neck, modified Mallampati grade III, normal neck movements and receding mandible. Since patient had anticipated difficult intubation with no tracheal compression, our plan was to intubate trachea with videolaryngoscope in Rapid Airway Management Position (RAMP) with emergency airway cart standby. Anaesthesia was maintained with isoflurane and nitrous oxide. After thyroidectomy, trachea was extubated and she had an uneventful postoperative period.
Authors and Affiliations
Vanita Ahuja, Savita Rana, Ravneet Kaur
Keywords
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