Awake Fibreoptic Intubation (0.5)
- Should not be performed in the setting of marked obstruction due to the risk of 'cork in bottle' phenomenon (0.5)
Inhalational Induction and Intubation (0.5)
- Assessment needs to be made that the size of the goitre will not lead to obstruction after induction (0.5)
Awake Tracheostomy (0.5)
- The increased vascularity associated with a large goitre can make an awake tracheostomy difficult (0.5)
Rigid Bronchoscopy (0.5)
- Provides a method for ventilation in the setting of unsuccessful intubation or subglottic tracheal compression but cannot be used to facilitate ventilation for the operative procedure (0.5)