Securing a Difficult Airway: Tracheal Intubation Achieved after Deliberate Placement of an Endotracheal Tube in Esophagus: A New Approach

Anesthesia, Essays and Researches
Vanilla ChopraMohd Reidwan Dar

Abstract

Enlarged thyroid gland with retrosternal extension has an increased incidence of difficult intubation, and it poses real airway challenge for the anesthesiologists. Here, we present a case of successful management of a difficult airway in a female patient of enlarged thyroid gland, planned for open reduction and internal fixation of the upper end of humerus. Endotracheal intubation was achieved after deliberate insertion of an endotracheal tube in esophagus. The patient was extubated over a ventilating bougie, with uneventful postoperative course.

References

Dec 24, 1997·Anaesthesia·P J Claydon, D Cressey
Mar 20, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·E T Crosby
Sep 27, 2006·Anesthesia and Analgesia·R AmathieuF Adnet
May 30, 2013·Saudi Journal of Anaesthesia·Divya Srivastava, Sanjay Dhiraaj

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