Title
Management of airway compromise following thyroid cyst hemorrhage after thrombolytic therapy
Publication Date
2015
Journal Title
Laryngoscope
Abstract
The risk of hemorrhage after therapeutic administration of tissue plasminogen activator (tPA) is well known. Cases of postadministration hemorrhage have been reported within many organ systems. We present a case of a 62-year-old female with undiagnosed thyroid goiter who received tPA for acute ischemic stroke and developed acute airway compromise. The surgical airway response team was called due to inability to ventilate or intubate. An incision into the mass during attempted tracheotomy released colloid and blood, decompressing the airway and facilitating ventilation and intubation. Hemithyroidectomy for mass removal was delayed for 3 days to allow normalization of post-tPA coagulopathy.
Volume Number
125
Issue Number
3
Pages
604-7
Document Type
Article
EPub Date
2014/07/22
Status
Faculty
Facility
School of Medicine
Primary Department
Otolaryngology
PMID
DOI
10.1002/lary.24841