Significant swelling of the thyroid compromising the airway can be a challenging situation when combined thyroidectomy and cardiac surgery is planned. Induction, intubation, intraoperative management, and extubation require special attention in such cases.

BACKGROUND Tracheomalacia is a feared complication of goitre surgery, but considered rare in the Western World. This study aimed to estimate the risk of tracheomalacia in a contemporary series of patients with goitres causing significant tracheal compression. METHODS A retrospective review was conducted of thyroidectomies performed in a UK tertiary referral centre over a 30 month period. Anae...

background: increase in intraocular pressure (iop) following tracheal intubation during general anesthesia can be troublesome. we compared the influence of two muscle relaxants, cisatracurium and atracurium, on iop in patients undergoing general anesthesia. methods: this randomized, double-blind, comparative trial was conducted on 90 candidates for elective non-ophthalmic surgery under general ...

INTRODUCTION Postoperative sore throat is a common complaint in patients with endotracheal intubation and has potentially dangerous complications. This randomized controlled trial study investigated the incidence of postoperative sore throat after general anesthesia when betamethasone gel is applied to a tracheal tube compared with when IV dexamethasone is prescribed. MATERIALS AND METHODS Tw...

Surgical procedures on the trachea have only been undertaken within the past 50 years. Knowing the unique blood supply of the trachea and how to reduce tension on any anastomosis are key to a successful outcome. Tracheal conditions requiring surgery usually present with shortness of breath on exertion, and preoperative evaluation involves computed tomography and rigid bronchoscopy. Tracheal res...

Background: The bevel position of tracheal tube (TT) affects the success rate while using intubating laryngeal mask airway (ILMA). present study compared intubation on basis anterior and posterior conventional polyvinylchloride (PVC) through an ILMA. Methods: Two hundred adult ASA I or II patients, having Mallampati class 1 2 airway, undergoing elective surgery under general anesthesia were inc...

A variety of congenital anomalies arise within the laryngeal or tracheal airway. Symptoms primarily include airway obstruction, hoarseness, and difficulty feeding. The diagnosis is typically made by a combination of clinical presentation, physical examination, and endoscopic evaluation. Definitive intervention may be necessary requiring endoscopic or open laryngeal surgery. Some of the more com...

The sternocleidomastoid (SCM) myoperiosteal flap offers a relatively simple, single-stage reconstruction of a tracheal defect after conservative resection of an invasive papillary cancer of the thyroid with intraluminal involvement. Vascularised clavicular periosteum provides a viable, pliant, airtight, composite autologous graft with minimal vocal disturbance and a low risk to the parathyroid ...

Aim: To compare the efficacy of intravenous dexamethasone with placebo in preventing POST after endotracheal intubation general surgical patients. Design: Randomized controlled trial. Place and duration study: Department Anesthesiology Surgical Intensive Care Unit Pain Management, Civil Hospital, Dow University Health Sciences Karachi from 12th January 2015 to 11th July 2015. Methodology: Sixty...

Tracheostomy is one of the oldest established procedures in surgical practice, but the indications for its use have undergone considerable changes, particularly in the last 25 years (Borman and Davidson, 1963). Its use is again under review (Lancet, 1967) and, as a result of the associated complications, many centres are using alternative methods, such as oro-tracheal and naso-tracheal intubati...