Anesthetic management of a patient of multinodular goiter with retrosternal extension presenting with obstructive sleep apnea for total thyroidectomy

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Anesthetic care of the patient with obstructive sleep apnea.

Introduction Obstructive sleep apnea (OSA) is an insidious, progressive disease1 that is significantly under diagnosed in the general population. It carries increased risk of difficult intubation preoperatively2 and increased risk of postoperative respiratory depression and airway collapse leading to hypoxia and possibly asphyxia3. In light of the estimated prevalence of symptomatic OSA in 5%4 ...

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Anesthetic and postoperative management of the obstructive sleep apnea patient.

Sleep apnea patients pose a challenge for surgeons, anesthesiologists, and surgical facilities as there is increased risk for anesthetic and postoperative complications. Precautions before and after surgery minimize these risks. Screening for sleep apnea should be done for all surgical patients. Safe perioperative management requires judicious use of narcotics and sedating medications, reducing...

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Indications to total thyroidectomy for multinodular goiter in old patients

Background In Western society, the percentage of elderly people is continually growing. The prevalence of goiter increases with the age and it is estimated that 90% of women over 60 years old and 60% of men over 80 years old have a relief of thyroid nodules. This has great importance for these patients, because the incidence of malignant transformation is higher than younger ones and these are ...

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Case Report on Table Extubation of a Patient with Tracheomalacia after Thyroidectomy for large Retrosternal Goiter

Anesthetic management of patients with retrosternal goiter remains challenging as acute airway compromise may occur both during induction and recovery of anesthesia. We report the case of a 51 year old lady with retrosternal goiter and tracheal deviation who underwent total thyroidectomy. Comprehensive contingency plans were an essential prerequisite for successful management of difficult airwa...

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Apert Syndrome with Obstructive Sleep Apnea: A Case Report

Apert syndrome is a rare kind of craniosynostosis which is identified with fusion of cranial sutures during prematurity period and causes physical and intellectual disorders in younger ages. These patients may show symptoms of obstructive sleep apnea due to abnormal craniofacial shape. This article introduces a patient with Apert syndrome, with apnea symptoms, cyanosis, snoring, restlessness, n...

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ژورنال

عنوان ژورنال: Medical Journal of Dr. D.Y. Patil Vidyapeeth

سال: 2018

ISSN: 2589-8302

DOI: 10.4103/mjdrdypu.mjdrdypu_210_17