The impossible intubation--what next?
Hicks, G.L.
Journal of Cardiovascular Surgery 27(6): 737-739
1986
ISSN/ISBN: 0021-9509 PMID: 3782283 Document Number: 285959
A patient is presented in whom endotracheal intubation was impossible secondary to an obstructing substernal goiter and laryngeal spasm. Cardiopulmonary bypass was utilized to provide safe induction of anesthesia and intubation so that the substernal goiter could be removed. Other alternative methods in anesthetic management are discussed.