EAJAIC
Eurasian Journal of Anesthesiology and Intensive Care

The Eurasian Journal of Anesthesiology and Intensive Care (EAJAIC) is an independent-unbiased, peer-reviewed, "double-blind", and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, differential diagnoses, editorial opinions, letters to the editor, and educational papers in anesthesiology, algology, and intensive care medicine.

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eISSN: 3023-6738
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Case Report
Our anesthesia experience in a case with Giant Goiter
Abstract
Although large goitre disease is rare in developed countries, they are more frequently encountered in underdeveloped regions. Large thyroid masses requiring surgery pose challenges for anesthesia and surgery due to their proximity to vital anatomical structures. A 53-year-old female patient presented to the anaesthesia clinic for a Total Thyroidectomy. A prominent mass was observed in the anterior and lateral neck, extending from the mandibula to the sternal notch and ears. CT scans revealed narrowing of the tracheal lumen to 4 mm, indicating stenosis. Upon arrival in the operating room, the head of the surgical table was elevated to 45 degrees. Following standard monitoring, induction was performed. Laryngoscopy revealed a Cormack/Lehane grade 3 view. Due to difficulty with intubation, the endotracheal tube (ETT) was guided with a bougie. After a 3- hour surgery, the patient was extubated with 2 mg/kg sugammadex. The patient’s vital signs remained stable. Thyroid nodules are common, and total thyroidectomy is one of the most frequently performed surgeries globally. The main challenges for anesthesiologists during thyroid surgery include the gland's endocrine function, anatomical structures, and bleeding risks. A thorough preoperative assessment and preparation helped prevent complications in this case.

Keywords : Giant Goiter, anesthesia, thyroidectomy

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Article available in :
Volume 2, Issue 3, 2025
Page : 107-110
https://doi.org/10.51271/EAJAIC-0039
Article Information
Received : 09 Nis 2025
Accepted : 23 Haz 2025
Published : 06 Ağu 2025
Corresponding Author :

Oya Çimen: Department of Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Çimen O, Kale O. Our anesthesia experience in a case with Giant Goiter. Eur J Anesthesiol Intens Care. 2025;2(3):107-110.

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