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Case Studies | Medical Surgical | India | Volume 8 Issue 11, November 2019 | Popularity: 6.3 / 10

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Case Report: Anaesthetic Management of a Patient Posted for Total Laryngectomy

Dr. V. Uday Kiran, Dr. G. Muralikrishna, Dr T. Suryasree, Dr. A. Venkateswara Rao

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.

Keywords: Propofol, CMAC Video-laryngoscope, tracheostomy Portex tracheostomy tube

Edition: Volume 8 Issue 11, November 2019

Pages: 1309 - 1311

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