Tracheal Compression Goitre Intubation — FRCA Final MCQ

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HardAirway ManagementTracheal Compression Goitre IntubationFRCA Final

A 52-year-old man with large goitre has CT showing 70% tracheal compression (6 mm AP). Most appropriate intubation strategy?

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Correct answer: E — Awake fibreoptic intubation with small ETT

Significant tracheal compression (6 mm) mandates awake FOI. Maintains spontaneous ventilation — critical as induction agents may abolish airway tone causing complete collapse. Small ETT (5.0-6.0) railroaded past stenosis. Gas induction with SV is fallback if FOI refused.

Reference: DAS – 2025 – Management of known/anticipated difficult airway