| Equal and opposite expert opinion. Airway obstruction caused by a retrosternal thyroid mass: management and prospective international expert opinion. | |
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MedLine Citation:
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PMID: 21486272 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Anticipated problems with airway management during anaesthesia require careful planning, particularly when they involve a risk of airway obstruction. Advice may be sought from published literature (usually written by experts) or through direct communication with experts. More frequently, expert involvement is through retrospective review following patient harm. We present the case of a patient suffering from a retrosternal thyroid mass that was compressing her trachea in the midline and dividing it into two 2 × 3 mm lumens. After local discussion the patient underwent thyroidectomy. We invited international experts in anaesthetic airway management to review her case and submit their opinions regarding the best airway management for this difficult case. Opinions differed markedly, mirroring the published literature. Some experts specifically criticised techniques that, unbeknown to them, were proposed by others. The case raises issues about the nature of expert opinion that extends beyond this particular case. The nature and implications of expert opinion, when evidence is absent or conflicting, are discussed. |
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Authors:
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T M Cook; P J Morgan; P E Hersch |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-04-12 |
Journal Detail:
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Title: Anaesthesia Volume: 66 ISSN: 1365-2044 ISO Abbreviation: Anaesthesia Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-11 Completed Date: 2011-10-07 Revised Date: 2011-12-15 |
Medline Journal Info:
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Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: England |
Other Details:
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Languages: eng Pagination: 828-36 Citation Subset: AIM; IM |
Copyright Information:
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© 2011 The Authors. Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland. |
Affiliation:
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Department of Anaesthesia, Royal United Hospital, Bath, UK. timcook007@googlemail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Airway Obstruction
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etiology*,
therapy Expert Testimony Female Goiter, Nodular / complications* Humans Intubation, Intratracheal Laryngeal Masks Middle Aged Thyroidectomy / methods |
| Comments/Corrections | |
Comment In:
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Anaesthesia. 2011 Dec;66(12):1174; author reply 1174-5
[PMID:
22070590
]
Anaesthesia. 2011 Dec;66(12):1172-3; author reply 1173-4 [PMID: 22070587 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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