Emergency Progressive Tracheal Dilation with Conventional Tubes before Stenting in Thyroid Mass: A Case Report

Alessandro Crepaldi, Enrico Giustiniano, Alberto Testori, Nadia Fusilli, Marco Alloisio, Ugo Cioffi and Giorgio Maria Ferraroli

Department of Thoracic and General Surgery, Istituto Clinico Humanitas, Rozzano (Milano), Italy
Department of Anesthesia and Intensive Care Unit, Istituto Clinico Humanitas, Rozzano (Milano), Italy 3Department of Surgery, University of Milan, Milano, Italy

^*Correspondance to: Alessandro Crepaldi 

 PDF  Full Text DOI: 10.25107/2474-1647.2057

Abstract

An 80-year-old female patient presented to the emergency room for dyspnea and “tirage” caused by massive thyroid cancer. In these cases tracheal dilation by rigid bronchoscopy is the treatment of choice. Before the procedure we performed progressive dilatation with repeated intubations using conventional tube with increased diameters. No adverse events occurred. She was discharged from ICU to the ward on the day after the operation. This procedure allows being more confident in terms of patient ventilation, less trauma to the stenotic tracheal mucosa, less ICU stay, easy material availability and less cost for public health.

Keywords

Tracheal stenosis; Thyroid tumors; Rigid bronchoscopy; Emergency intubation

Cite the article

Crepaldi A, Giustiniano E, Testori A, Fusilli N, Alloisio M, Cioffi U, et al. Emergency Progressive Tracheal Dilation with Conventional Tubes before Stenting in Thyroid Mass: A Case Report. Clin Surg. 2018; 3: 2057.