title: Difficult airway challenges-intubation and extubation matters in a case of large goiter with retrosternal extension.
abstract: Thyroid diseases have an anesthetic implication that includes difficult airway management, uncontrolled hyperthyroidism, hypothyroidism and postthyroidectomy complications. Securing airway: Intubation and extubation both require skillful management and timely decision to reduce morbidity and mortality in the case of large goiter with retrosternal extension that leads to tracheal compression and deviation. We present the anesthetic management in a patient with a large goiter with retrosternal extension leading to tracheal compression and deviation. We managed the case with an awake fiberoptic intubation and guided extubation.
authors.affiliation: Department of Anesthesiology, ICU and Perioperative Medicine, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Chetankumar B
authors.initials: CB
authors.lastname: Raval
authors.affiliation: Department of Anesthesiology, ICU and Perioperative Medicine, Hamad Medical Corporation, Doha, Qatar.
authors.forename: Syed Abdul
authors.initials: SA
authors.lastname: Rahman
keywords: Difficult airway; fiberoptic intubation; goiter; retrosternal extension