Percutaneous dilatational tracheostomy in a patient with thyroid cancer and severe airway obstruction.
A patient with extensive metastatic thyroid cancer scheduled for palliative tracheostomy is presented. He had laryngeal dislocation with severe airway obstruction and few anatomical landmarks due to tumour infiltration and radiation. Successful percutaneous dilatational tracheostomy was performed under local anaesthesia.
Aadahl
P
P
Department of Anaesthesiology, Trondheim University Hospital, Norway.
Nordgård
S
S
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage; D018276:Carcinoma, Medullary / Q000556:secondary; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D017809:Fatal Outcome; D006258:Head and Neck Neoplasms / Q000556:secondary; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods; D007818:Laryngeal Diseases / Q000209:etiology; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D010166:Palliative Care; D013964:Thyroid Neoplasms / Q000150:complications*; D014139:Tracheostomy / Q000295:instrumentation / Q000379:methods*
D000779:Anesthetics, Local; D008012:Lidocaine