Emergency partial thyroidectomy under cervical block to relieve severe acute airway obstruction from thyroid cancer

A 75 year old male, Nigerian, retired civil servant presented to the Surgical Endocrine Unit of the Olabisi University Teaching Hospital, Sagamu, Nigeria with features of severe acute airway obstruction from advanced thyroid cancer. He was immediately worked up for an emergency partial thyroidectomy...

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Bibliographic Details
Published in:	African health sciences Vol. 8; no. 3; pp. 186 - 189
Main Authors:	Musa, A.A, Adebayo, S.B, Banjo, A.A.F, Oyewole, E.A, Olateju, S.O
Format:	Journal Article
Language:	English
Published:	Uganda Makerere University Medical School 01-09-2008 Makerere Medical School
Subjects:	Aged Airway Obstruction - etiology Airway Obstruction - surgery Anesthetics, Local - administration & dosage Cancer Case Reports Diagnosis, Differential Diazepam - administration & dosage Goiter - complications Goiter - surgery Health and Medicine Hospitals, Teaching Humans Lidocaine - administration & dosage Male Nerve Block - adverse effects Nigeria Nigerians Older People Pentazocine - administration & dosage Surgery Thyroid Neoplasms - complications Thyroid Neoplasms - surgery Thyroidectomy - adverse effects Treatment Outcome Nigeria
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Summary:	A 75 year old male, Nigerian, retired civil servant presented to the Surgical Endocrine Unit of the Olabisi University Teaching Hospital, Sagamu, Nigeria with features of severe acute airway obstruction from advanced thyroid cancer. He was immediately worked up for an emergency partial thyroidectomy within an hour of arrival in the hospital under superficial bilateral cervical blockage using 2% xylocaine with aderanalin (30mls) 1:100,000 with mild sedation, using 10mg pentazocine and 5mg diazepam as other forms of anaesthesia were not feasible because of his worsening respiratory distress. Findings at operation were a very haemorrhagic, friable thyroid gland with all the lobes matted together. He had isthmusectomy with bilateral partial lobectomy to relieve pressure on the trachea. Respiration improved in the immediate post-operative period as reflected by the values of arterial blood gases. He was maintained on respiration and intranasal oxygen therapy in Intensive Care Unit (ICU) for 2 days. He had an uneventful recovery and was discharged 2weeks after surgery. He had radiotherapy and was followed up in the clinic for a year.
Bibliography:	content type line 23 SourceType-Scholarly Journals-1 ObjectType-Report-1 ObjectType-Case Study-2 ObjectType-Feature-4 ObjectType-Article-3
ISSN:	1680-6905 1729-0503