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VOLUME 2 , ISSUE 1 ( January-April, 2010 ) > List of Articles

REVIEW ARTICLE

Goiter and Airway Control

Mukesh Tripathi

Citation Information : Tripathi M. Goiter and Airway Control. World J Endoc Surg 2010; 2 (1):9-16.

DOI: 10.5005/jp-journals-10002-1014

Published Online: 01-08-2012

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Goiter or thyroid swelling in neck has been known to be a risk factor for difficulty in airway management during anesthesia and surgery. The factors associated with difficult direct laryngoscopy and intubations in any patient are also the factors to predict difficult intubation in goiter patients. The huge goiter and long standing goiter especially with intrathoracic extension predispose for tracheomalacia. The tracheomalacia can be diagnosed during surgery but the airway obstruction usually develops after the extubation. Tracheostomy may be required in the event of loss of airway. A better understanding by surgeons and the anesthesiologists about the airway problems in goiter shall improve the outcome

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  1. The incidence of difficult intubation in 2000 patients undergoing thyroidsurgery: A single center expirience. Vojnosanit Pregl 2009;66:377-82.
  2. Respiratory complications after thyroidectomy and the need for tracheostomy in patients with a large goiter. Br J Surg 1999;86:88-90.
  3. Management of the difficult adult airway. Withspecial emphasis on awake tracheal intubation. Anesthesiology 1991;75:1087-110.
  4. Practice guidelines for management of the difficult airway: An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003;98:1269-77.
  5. The effect of goiter on endotracheal intubation. Anesth Analg 1997;84:611-12.
  6. Prediction of difficult tracheal intubation in thyroid surgery. Anesth Analg 2004;99:603-06.
  7. Results of surgical treatment in multinodular goiter with an intrathoracic component. Surg Today 2008;38:487-94.
  8. Difficult intubation in thyroid surgery: Myth or reality? Anesth Analg 2006;103:965-68.
  9. A clinical sign topredict difficult tracheal intubation: A prospective study. Can Anaesth Soc J 1985;32:429-34.
  10. A new cut-off point of thyromental distance for prediction of difficult airway. Middle East J Anesthesiol 2000;15:619-33.
  11. Predicting difficult intubation. What factors influence the thyromental distance? Anaesthesia 1992;47:623.
  12. Predicting difficult tracheal intubation. Br J Anaesth 1988;61:211-16.
  13. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 2003;97:595-600.
  14. Morbid obesity and tracheal intubation. Anesth Analg 2002;94:732-36.
  15. The incidence of difficult intubation in 2000 patients undergoing thyroidsurgery: A single center expirience. Vojnosanit Pregl 2009;66:377-82.
  16. Respiratory complications after thyroidectomy and the need for tracheostomy in patients with a large goiter. Br J Surg 1999;86:88-90.
  17. Management of the difficult adult airway. Withspecial emphasis on awake tracheal intubation. Anesthesiology 1991;75:1087-110.
  18. Practice guidelines for management of the difficult airway: An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003;98:1269-77.
  19. The effect of goiter on endotracheal intubation. Anesth Analg 1997;84:611-12.
  20. Prediction of difficult tracheal intubation in thyroid surgery. Anesth Analg 2004;99:603-06.
  21. Results of surgical treatment in multinodular goiter with an intrathoracic component. Surg Today 2008;38:487-94.
  22. Difficult intubation in thyroid surgery: Myth or reality? Anesth Analg 2006;103:965-68.
  23. A clinical sign topredict difficult tracheal intubation: A prospective study. Can Anaesth Soc J 1985;32:429-34.
  24. A new cut-off point of thyromental distance for prediction of difficult airway. Middle East J Anesthesiol 2000;15:619-33.
  25. Predicting difficult intubation. What factors influence the thyromental distance? Anaesthesia 1992;47:623.
  26. Predicting difficult tracheal intubation. Br J Anaesth 1988;61:211-16.
  27. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 2003;97:595-600.
  28. Morbid obesity and tracheal intubation. Anesth Analg 2002;94:732-36.
  29. Prospective study of postoperative complications after total thyroidectomy for multinodular goiters by surgeons with experience in endocrine surgery. Ann Surg 2004;240:18-25.
  30. Difficult tracheal intubation: A retrospective study. Anaesthesia 1987;42:487-90.
  31. What is the best to determine oropharyngeal classification and mandible space length to predict difficult laryngoscopy? Anesthesiology 1994;81:69-75.
  32. Short thyromental distance: A predictor of difficult intubation or an indicator for small blade selection? Anesthesiology 2006;104:1131-36.
  33. Perioperative management of huge goiter with compromized airway. The Internet J Anesth 2003;7:1-
  34. ispub.com/journal/the_internet_journal_of_anesthesiology/volume_7_number2)
  35. Management of the difficult adult airway. Anesthesiology 1991;75:1087-110.
  36. Management of difficult airway. Clin Chest Med 1991;12:483-95.
  37. Difficult tracheal intubation in obstetrics. Anaesthesia 1984;39:1105-11.
  38. Assessment of airway visualization: Validation of the percent of glottic opening (POGO) scale. Acad Emerg Med 1998;5:919-23.
  39. The intubation difficulty scale (IDS). Proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesthesiology 1997;87:1290-97.
  40. Difficult laryngoscopy made easy with a “BURP”. Can J Anaesth 1993;40:798-99.
  41. Bimanual laryngoscopy: A videographic study of external laryngeal manipulation by novice intubators. Ann Emerg Med 2002;40:30-37.
  42. Laryngeal view during laryngoscopy: A randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy. Ann Emerg Med 2006;47:548-55.
  43. Emergency airway management: Competence versus expertise. Anesthesiology 2008;109:945-47.
  44. Effects of the supervision by attending anesthesiologists on complications of emergency tracheal intubation. Anesthesiology 2008;109:973-77.
  45. Anaesthesia for thyroid and parathyroid surgery. Continuing Education in Critical Care and Pain 2007;7:55-58.
  46. The role of fiber-optic endoscopy in airway management. Seminars in Anesthesia 1987;6:93-104.
  47. A rapidly enlarging neck mass: The role of the sitting position in fiberoptic bronchoscopy for difficult intubation. Anesth Analg 2008;107:1627-29.
  48. Complete airway obstruction during awake fiberoptic intubation. Anaesthesia 1997;52:582-85.
  49. A nasotracheal tube for faciomaxillary surgery. Anaesthesia 1982;37:940-43.
  50. The intubating laryngeal mask airway in failed fiberoptic intubation. Can J Anaesth 1999;46:376-78.
  51. Thyroidectomy in patients with marked thyroid enlargement: Airway management, morbidity, and outcome. Am Surg 1994;60:586-91.
  52. Respiratory complications associated with tracheal intubation and extubation. Br J Anaesth 1998;80:767-75.
  53. Tracheal collapse after thyroidectomy. Br J Surg 1979;66:554.
  54. Tracheal collapse complicating thyroidectomy: A case report. Curr Res Anesth Analg 1936;15:300.
  55. Substernal goiter: A clinical review. Am J Otolaryngol 1994;15:409.
  56. Tracheomalacia from compressing goiter: Management after thyroidectomy. Surgery 1988;104:100-08.
  57. Identifying tracheomalacia. Br J Anaesth 2000;84:127-28.
  58. High incidence of tracheomalacia in longstanding goiters: Experience from an endemic goiter region. World J Surg 2007;31:832-37.
  59. Cervical plexus block in surgery of the thyroid gland. Minerva Anestesiol 1970;36:717-19.
  60. Local anesthesia with monitored anesthesia care vs general anesthesia in thyroidectomy: A randomized study. Arch Surg 2006;141:167-73.
  61. Anaesthesia for huge goiter. Anaesthesia 1978;33:555-56.
  62. Problems in anaesthesia for huge thyroid goitres. Br J Anaesth 1981;53:963-65.
  63. Possible risk factors for respiratory complications after thyroidectomy: An observational study. Ear Nose Throat J 2009;88:890-92.
  64. The laryngeal mask airway-use in the management of stridor. Anaesth Intensive Care 1992;20(1):117-18.
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