• Anaesth Intensive Care · Apr 2002

    Case Reports

    Elective awake intubation in a patient with massive multinodular goitre presenting for radioiodine treatment.

    • A Chakera, P V van Heerden, and A van der Schaaf.
    • Intensive Care Unit, Sir Charles Gairdner Hospital, Perth, WA, Australia.
    • Anaesth Intensive Care. 2002 Apr 1; 30 (2): 236-9.

    AbstractWe present the management of the potential airway complications in a case of massive multinodular goitre treated with radioactive iodine. The patient's trachea was prophylactically intubated, using a fibreoptic technique, to prevent further airway compromise due to thyroid oedema following radioactive iodine treatment. He remained awake and intubated for five days and was extubated when there was no clinical evidence of thyroid oedema as a consequence of his treatment. This approach avoided the considerable risk of thyroidectomy in a morbidly obese patient with airway obstruction. To the authors' knowledge this approach has not been previously described.

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