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ISSN 1726-6718 (Electronic)
Revista Cubana de Anestesiología y Reanimación

2013, Number 1

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Revista Cubana de Anestesiología y Reanimación 2013; 12 (1)

Endotracheal intubation with flexible fiberoptic bronchoscope in patients with severe nontoxic goiter

Espinaco VJ, Kenny PJ

Language: Spanish
References: 10
Page: 40-45
PDF size: 108.67 Kb.


ABSTRACT

Background: Patients with severe nontoxic goiter can present obstructive symptoms of the airways with important implications for the anaesthesiology behaviour. The use of the flexible fiberoptic bronchoscope is a first line alternative for the endotracheal intubation in these patients. Patient: 34-year-old woman suffering from severe goiter who was atmitted to hospital to undergo a surgical exerecis of a cold nodule located in the lower pole of the right lobe of the thyroid gland. The trachea was intubated using a flexible bronchoscope while she was breathing spontaneously and sedated with a continuous infusion of Dexmedetomidine. Conclusions: The fiberoptic intubation is considered "the gold pattern" for the approach of the anticipated difficult airway. The study and practice of this technique by the anaesthesiologist constitute an urgent need.


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