Perioperative Management of Multinodular Goiter

Document Type

Conference Proceeding

Publication Date

10-11-2025

Abstract

A 74-year-old ASA 3 male with a massively enlarged multinodular goiter and significant tracheal deviation presented for total thyroidectomy after failed intubation at initial surgery. Fourteen days later, awake fiberoptic oral intubation was performed in a complete sitting position using lidocaine topicalization and an Olympus bronchoscope, in collaboration with thoracic surgery. A 7.5 ETT was successfully placed, surgery completed, and the patient was kept intubated postoperatively in the SICU. He was extubated and discharged without complications. This case will discuss the importance of multidisciplinary planning, optimal airway anesthetization and equipment, and staged extubation precautions for airway compression.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

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