Aliases:
Thyroidectomy
Hemithyroidectomy

Topic aliases are alternate phrasings for a particular topic.


If thyroid storm is suspected, ask the surgeon to stop manipulating the thyroid and manage hypertension with appropriate antihypertensives whilst gathering additional information to clarify the diagnosis

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If there is retrosternal component, consider the assistance of another anesthesiologist at induction in case respiratory collapse occurs.

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Check for pemberton's sign or venous congestion of the face/neck in the supine position which is suggestive of superior venacava (SVC) obstruction. This will impact patient positioning at the time of induction. refl.in/1k

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If retrosternal extension is present, consider the risk of major vessel rupture and ensure adequate intravenous access is placed

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If retrosternal extension is present, & imaging suggests tracheal narrowing, confirm ETT is past the narrowing with fibreoptic bronchoscope

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If surgeon requests neuromuscular integrity-monitoring-nim-electromyographic-ett to test recurrent laryngeal nerve, reverse any relaxant at approx 30mins and administer opiods to blunt coughing.

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If using a NIM tube, size 6 female, size 7 male. SM #Peninsula

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Oct 07, 2011
product info actually suggests choosing one size larger than usual to ensure adequate electrode contact with the cords refl.in/g4
Prevent rotation of NIM tube (and loss of electrode contact) by trouser taping the tube.

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Surgical tracheostomy/cricothyroidotomy may be difficult due to highly vascular enlarged thyroid

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