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British Journal of Anaesthesia, 2002, Vol. 89, No. 6 927-930
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Management of a known difficult airway in a morbidly obese patient with gross supraglottic oedema secondary to thyroid disease

M. Hariprasad and G. J. Smurthwaite*

Department of Anaesthetics, Hope Hospital (University of Manchester), Salford, Manchester M6 8HD, UK susan.leighton@srht.nhs.uk

We describe the use of awake fibreoptic intubation in the management of a patient with a known difficult airway, who presented with stridor resulting from supraglottic oedema. The aetiological factors contributing to this supraglottic oedema included coexisting thyroid swelling and congestive cardiac failure. Options for appropriate airway management in such cases are discussed.

Br J Anaesth 2002; 89; 927–30


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