Management of airway compromise following thyroid cyst hemorrhage after thrombolytic therapy

We present a case of a 62‐year‐old female with undiagnosed thyroid goiter who received tPA for acute ischemic stroke and developed acute airway compromise. The surgical airway response team was called due to inability to ventilate or intubate. An incision into the mass during attempted tracheotomy released colloid and blood, decompressing the airway and facilitating ventilation and intubation. Hemithyroidectomy for mass removal was delayed for 3 days to allow normalization of post‐tPA coagulopathy. Laryngoscope, 2014
Source: The Laryngoscope - Category: ENT & OMF Authors: Tags: General Otolaryngology Source Type: research