A 50 Year old Female with a Large Multi nodular goitre and Kyphoscoliosis Posted for Total Thyroidectomy - Perioperative Challenges

Thyroidectomy is reported the most common endocrine surgical procedure being carried out throughout the world. The challenges faced by an anesthesiologist during thyroid procedures are never ending, scenarios being ranging at any stage, be it preoperative, intra operative or post operative. Thyroid surgery mandates optimal preparation on one hand, while enlarged gland further adds to the anesthetic challenges with an anticipated difficult airway. Various other cardiac comorbidities add on to the difficulty. Thyroid storm in an inadequately prepared patient can occur due to various causes adding the burden on to the anesthesiologist. Complications such as hemorrhage, laryngeal edema, nerve palsies, tracheomalacia, tetany, pneumothorax etc. that develop postoperatively pose a challenge in the post operative recovery area. Our present review aims at a detailed analysis of the risks faced and challenges encountered during a successful administration of anesthesia in a 50 year old female Mrs. Kiran Sharma with a progressively increasing large multi nodular goiter posted for total thyroidectomy.