Indian Journal of Clinical Anaesthesia
  • Year: 2018
  • Volume: 5
  • Issue: 3

Retrosternal goitre: Anaesthetic implications and management

  • Author:
  • Nitin Choudhary1,, Abhijit Kumar2, Sonia Wadhawan3, Poonam Bhadoria4, Vishnu Panwar5
  • Total Page Count: 4
  • Page Number: 453 to 456

1Senior Resident, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

2PG Student, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

3Director Professor, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

4Director Professor, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

5Specialist, Dept. of Anaesthesiology, Maulana Azad Medical College, New Delhi, India

*Corresponding Author: Email: drnitinchoudhary@yahoo.in

Online published on 3 January, 2019.

Abstract

Large retrosternal goitre is a challenge to the anaesthesiologist and the surgeon. We describe the successful anaesthetic management of a 44 year old male patient with extensive retrosternal goitre with severe tracheal compression, operated for total thyroidectomy under general anaesthesia by combined cervical approach and sternotomy. A multidisciplinary team approach with surgical colleagues allowed successful management of the patient.

Keywords

Retrosternal goitre, Thyroidectomy, Sternotomy, Awake fibreoptic intubation