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Anaesthetic challenges in the management of huge toxic thyroid with tracheal invasion, pulmonary metastases & coronary stent in-situ


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Abstract

Introduction: Tackling difficult airway in huge, complex thyroid is itself an anaesthetic challenge with its difficulty to mask ventilate and access the airway; it becomes all the more challenging when it is associated with thyrotoxicosis, tracheal invasion, lung metastases in a patient with poor cardiac function with coronary stent in situ. Here, we describe one such case report which highlights the challenges of such a case and emphasizes the calm, calculated approach of the attending anaesthesiologist for the successful management.

Keywords

Huge thyroid, difficult airway, tracheal invasion, pulmonary metastasis, coronary stent

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