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KMID : 0352120190340010050
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Journal of Kyung Hee University
2019 Volume.34 No. 1 p.50 ~ p.55
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Airway Management of Huge Goiter Patient with Severe Tracheal Narrowing by Awake Bronchoscopic Intubation - A case report
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Kwan Tae-Wan
Kang Wha-Ja
You Ann-Hee
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Abstract
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The huge thyroid goiter is one of the risk factors of difficult airway. We report the anesthetic management of compromised airway with tracheal narrowing due to a huge goiter. After applying lidocaine spray, awake oral fiberoptic intubation was perfomed and intubation was done with 6.0mm reinforced armored tube. After successful total thyroidectomy, neuromuscular blockade was completely reversed by sugammadex and extubation was uneventful. No respiratory compromise was noted after extubation and the patient was discharged in 3 days after the surgery without any complications.
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KEYWORD
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Awake fiberoptic bronchoscope (AFOB), Difficult airway management, Huge goiter
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