Case Report: Anaesthetic Management of a Patient Posted for Total Laryngectomy
Journal: International Journal of Science and Research (IJSR) (Vol.8, No. 11)Publication Date: 2019-11-05
Authors : V. Uday Kiran; G. Muralikrishna; Dr T. Suryasree; A. Venkateswara Rao;
Page : 1309-1311
Keywords : Propofol; CMAC Video-laryngoscope; tracheostomy Portex tracheostomy tube;
Abstract
Laryngectomy is always a difficult surgery both for surgeon and anaesthesiologist. The condition can get worse when such patients appear with advanced-stage laryngeal cancer, requiring a definitive surgery along with thyroid gland resection. Apart from anesthetic obstacles in managing the disturbed anatomy, management of difficult airway during the perioperative period can be a huge challenging task. Carcinoma larynx creates unique airway problems in which mask ventilation and laryngoscopy may be difficult. Airway management is a very critical factor that needs priority. We are reporting a case posted for hemithyroidectomy and laryngectomy where we anticipated a difficult airway pre-operatively. Thyroidectomy and laryngectomy in patients with laryngeal tumour can be smoothly and effectively carried out by using C-MAC guided flexometallic ET tube intubation followed by low tracheostomy instead of elective tracheostomy.
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