TRACHEOMALACIA AS AN UNUSUAL CAUSE OF UPPER AIRWAYS OBSTRUCTION LEADING TO CARDIAC ARREST

Tracheomalacia

Abstract

INTRODUCTION

Tracheomalaciais one of the complications, which usually results from prolonged compression of trachea by expanding and longstanding goitre,  particularly having an extension in the thoracic inlet. Respiratory embarrassment due to compression of the upper airways by the growing goitre is an indication for surgery, but the residual problem of tracheomalacia which develops after thyroidectomy is a life-threatening postoperative complication¹. In rare cases patients develop symptoms preoperatively even without thyroid extension in the thorax. This case report emphasizes the need for extra care and vigilance while sedating and managing the outbursts of aggression in psychiatric and elderly patients especially with compromised airways.