What does this research mean for the field?

Safe and successful tracheal intubation for retrosternal goiter surgery can be achieved in low-resource settings using standard direct laryngoscopy and a stepwise multidisciplinary approach, without routine reliance on advanced airway techniques. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate airway management strategies, intubation success, and perioperative complications among patients undergoing retrosternal goiter resection in a resource-limited setting.

September 7, 2026BMC AnesthesiologyOpen Access

Airway management in retrosternal goiter surgery: a five-year single-center retrospective observational study in a low-resource setting

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To evaluate airway management strategies, intubation success, and perioperative complications among patients undergoing retrosternal goiter resection in a resource-limited setting.
Conducted a retrospective observational study of 40 consecutive patients undergoing surgical resection of retrosternal goiter between 2021 and 2025 at a single center in Vietnam.
Applied a stepwise multidisciplinary protocol involving clinical and CT-based airway evaluation, downsized endotracheal tubes, and confirmation of adequate mask ventilation before neuromuscular blockade.
Endotracheal intubation succeeded in 100% of patients (40/40), with 80% intubated via direct laryngoscopy and 0% requiring emergency rescue airway procedures.
Radiological tracheal compression occurred in 97.5% of cases, yet neuromuscular blockade was safely administered in 95% without airway collapse or hemodynamic instability.
Postoperative complications developed in 27.5% of patients, consisting primarily of transient recurrent laryngeal nerve dysfunction and hypoparathyroidism, with minimal airway-related adverse events.

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Implication

Retrospective observational study reveals 100% intubation success during retrosternal goiter surgery in Vietnam, indicating conventional airway techniques remain safe in low-resource settings.

Cite This Study

Dao et al. (2026) studied this question.

synapsesocial.com/papers/6a9e85a2c3034f961570de7e https://doi.org/10.1186/s12871-026-04206-y

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Implication

Retrospective observational study reveals 100% intubation success during retrosternal goiter surgery in Vietnam, indicating conventional airway techniques remain safe in low-resource settings.

Airway management in retrosternal goiter surgery: a five-year single-center retrospective observational study in a low-resource setting

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Discussion

Implication

Cite This Study

Airway management in retrosternal goiter surgery: a five-year single-center retrospective observational study in a low-resource setting

Key Points

Discussion

Implication

Cite This Study

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