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Case Reports in Anesthesiology
Volume 2011 (2011), Article ID 352672, 3 pages
http://dx.doi.org/10.1155/2011/352672
Case Report

Awake Fibreoptic Intubation in the Sitting Position in a Patient with a Huge Goitre

Department of Anesthesiology, Maulana Azad Medical College and Associated Hospitals, B-302 Geetanjali Apartments, Vikas Marg Extension, New Delhi 110092, India

Received 8 September 2011; Accepted 10 October 2011

Academic Editors: K. I. Cheng and I.-O. Lee

Copyright © 2011 Kirti Nath Saxena et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 46-year-old woman was anesthetized for total thyroidectomy. The thyroid was massive, deviating the trachea to the right and causing attenuation of the trachea radiologically. She had symptoms of respiratory obstruction in the supine position. Awake FOB-guided intubation was done in sitting position after airway topicalisation, and the airway was intubated with difficulty with 7.0 mm cuffed orotracheal tube. We describe this case in detail and discuss the significance of careful approach to planning and preparation in the management of such a case.