Abstract

ESPINACO VALDES, Javier  and  KENNY, Phillip J. Endotracheal intubation with flexible fiberoptic bronchoscope in patients with severe nontoxic goiter. Rev cuba anestesiol reanim [online]. 2013, vol.12, n.1, pp. 40-45. ISSN 1726-6718.

Background: Patients with severe nontoxic goiter can present obstructive symptoms of the airways with important implications for the anaesthesiology behaviour. The use of the flexible fiberoptic bronchoscope is a first line alternative for the endotracheal intubation in these patients. Patient: 34-year-old woman suffering from severe goiter who was atmitted to hospital to undergo a surgical exerecis of a cold nodule located in the lower pole of the right lobe of the thyroid gland. The trachea was intubated using a flexible bronchoscope while she was breathing spontaneously and sedated with a continuous infusion of Dexmedetomidine. Conclusions: The fiberoptic intubation is considered "the gold pattern" for the approach of the anticipated difficult airway. The study and practice of this technique by the anaesthesiologist constitute an urgent need.

Keywords : difficult airway; fiberoptic intubation.

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