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Huge Goiter로 기도협착이 있는 환자에서 Awake Bronchoscopic Intubation을 통한 기도 관리 - 증례보고 -

Airway Management of Huge Goiter Patient with Severe Tracheal Narrowing by Awake Bronchoscopic Intubation - A case report

경희의학 2019년 34권 1호 p.50 ~ 55
권태완 ( Kwan Tae-Wan ) - 경희대학교 의과대학 마취통증의학교실

강화자 (  ) - 경희대학교 의과대학 마취통증의학교실
유안희 ( You Ann-Hee ) - 경희대학교 의과대학 마취통증의학교실

Abstract


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.

키워드

Awake fiberoptic bronchoscope (AFOB); Difficult airway management; Huge goiter
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