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What are your considerations for intraoperative conduct of patients undergoing thyroidectomy?

Monitoring Standard AAGBI monitoring Continuous temperature monitoring: Risk of hyperthermia or hypothermia in patients with thyroid disease Recurrent laryngeal nerve neuromonitoring: Specialist NIM tube required May reduce incidence of RLN palsy     Positioning...

What are your considerations for choice of technique, induction and maintenance of anaesthesia in patients undergoing thyroidectomy?

Technique Performed under general anaesthesia     Induction & Maintenance Total intravenous anaesthesia (TIVA) has become increasingly popular: Provides fast and gentle recovery Use of remifentanil reduces stimulation and motion in the absence or neuromuscular...

How common is difficult intubation in thyroid surgery?

How common is difficult intubation in thyroid...

What are the options for predicted difficult intubation in thyroid surgery?

Awake Fibreoptic Intubation Inhalational Induction and Intubation Awake Tracheostomy Rigid Bronchoscopy Should be considered when there is concern regarding distorted upper airway anatomy or that the airway may be lost completely on inductionShould not be performed in...

How can the airway be managed for thyroidectomy in cases of retrosternal goitre?

Airway management for large retrosternal goitre is often difficult as there is the potential for difficult airway management at all stages: Bag valve mask ventilation Laryngeal mask ventilation Laryngoscopy and intubation Airway rescue with transtracheal access There...
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SOE Cases

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SBAs

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