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Airway Management of Retrosternal Goiters in 22 Cases in a Tertiary Referral Center by Yuanming Pan; Chaoqin Chen; Lingya Yu; Shengmei Zhu; Yueying Zheng is a Medicine article available to read on EtoBox.

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## Background The present study aimed to investigate the incidence and extent of difficult airway management in patients with massive retrosternal goiter. ## Design An 8-year retrospective analysis was performed to identify patients who underwent massive retrosternal thyroidectomy. A total of 22 cases were identified as giant retrosternal goiter, followed by a review of each patient’s preoperative computerized tomography imaging. ## Interventions There were no cases of failed intubation. Twenty patients underwent uneventful tracheal intubation using direct laryngoscopy or Glidescope. Thirteen patients received a muscle relaxant intravenously, and two patients were induced with sevoflurane. Five patients underwent awake tracheal intubation, including awake fiberoptic intubation in three patients. Before entering the operating theatre, the remaining two patients underwent oral tracheal intubation with Glidescope in the emergency department. ## Results Two patients had tracheal intubation before they entered the operating theatre. Once entering vocal cords, tracheal intubation can pass beyond the site of the tracheal obstruction without difficulty. One patient died because of serious

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Author

Yuanming Pan; Chaoqin Chen; Lingya Yu; Shengmei Zhu; Yueying Zheng

Publisher

Informa UK Limited

Published

2020

Language

EN

Field

Medicine (Health Sciences)