Anaesthesia for Massive Retrosternal Thyroidectomy in a Tertiary Referral Centre

Dempsey, Ged; Snell, John A.; Coathup, Rachel; Jones, Toby Craig

doi:10.1097/01.sa.0000459455.45872.b2

Cited by 2 publications

(3 citation statements)

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“…These are usually chronic lesions but, in rare circumstances (< 1%), (29) they can present as AAO with considerable management difficulties for the anaesthesiologist, and ENT and thoracic surgeons. (12,30) A goitre can cause a mass effect on surrounding structures, resulting in Pemberton's sign when the gland acts as a 'thyroid cork' at the thoracic inlet and AAO.…”

Section: Causes Location and Degree Of Obstructionmentioning

confidence: 99%

Anaesthetic management of acute airway obstruction

Wong¹,

Wong²,

Mok³

2016

smedj

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The acutely obstructed airway is a medical emergency that can potentially result in serious morbidity and mortality. Apart from the latest advancements in anaesthetic techniques, equipment and drugs, publications relevant to our topic, including the United Kingdom's 4th National Audit Project on major airway complications in 2011 and the updated American Society of Anesthesiologists' difficult airway algorithm of 2013, have recently been published. The former contained many reports of adverse events associated with the management of acute airway obstruction. By analysing the data and concepts from these two publications, this review article provides an update on management techniques for the acutely obstructed airway. We discuss the principles and factors relevant to the decision-making process in formulating a logical management plan.

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Section: Causes Location and Degree Of Obstructionmentioning

confidence: 99%

Anaesthetic management of acute airway obstruction

Wong¹,

Wong²,

Mok³

2016

smedj

View full text Add to dashboard Cite

show abstract

“…Prolonged duration and retrosternal extension are considered as risk factors for post-thyroidectomy tracheomalacia (PTTM) but recent studies have failed to support this [1][2][3] . Management includes reintubation, tracheal stenting or tracheostomy based on severity.…”

mentioning

confidence: 99%

“…1 However, intravenous induction and conventional laryngoscopy guided intubation is found safe in experienced hands 1 .…”

mentioning

confidence: 99%