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British Journal of Anaesthesia, 1971, Vol. 43, No. 12 1187-1190
© 1971 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

AIRWAY DIFFICULTIES ASSOCIATED WITH ANAESTHESIA IN ACROMEGALY

L. M. KITAHATA, M.D., PH.D.

Department of Anes-thesiology, Yale University School of Medicine and Yale-New Haven Hospital New Haven, Connecticut, U.S.A.

Three cases of airway difficulties associated with acromegaly are presented. Acromegalic features, with generally thickened tissues in the upper airway, predispose to airway obstruction. This potential difficulty, especially greater during anaesthesia, has not received the attention it warrants in the anaesthetic literature. Careful pre-operative evaluation, meticulous intra-operative management, and close postoperative observation of these patients regarding adequacy of the airway are essential.


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