| CASE REPORT |
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| Year : 2020 | Volume
: 16
| Issue : 3 | Page : 138-141 |
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Anesthetic management of total thyroidectomy and partial sternotomy for a case of retrosternal goiter
Gokuldas Menon, Pawan Kumar, Ahlam Abdul Rahman, Shalini M Nair, Mathew George, Eldo Issac
Department of Anaesthesia and Critical Care, Amrita Institute of Medical Sciences, Kochi, Kerala, India
Correspondence Address:
Dr. Gokuldas Menon
Department of Anaesthesia and Critical Care, Amrita Institute of Medical Sciences, Kochi, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/AMJM.AMJM_40_20
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The anaesthetic management of retrosternal thyroid swellings has many associated problems. Positioning and induction may cause severe cardiorespiratory decompensation. Intubation may be difficult and may require all the gadgets for difficult intubation procedure. Rarely patients may require cardiopulmonary bypass to save life. Extubation may be difficult in patients with tracheomalacia. Post-operatively patients may require tracheostomy and ventilatory support. This is a case report outlining successful management of a patient with retrosternal goiter who underwent total thyroidectomy following partial sternotomy.
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