Anesthetic management of a patient with large goiter and necrotizing fasciitis of left breast posted for emergency toilet mastectomy

In surgical emergencies involving complex cases such as large goiter and necrotizing fasciitis of the breast, anesthetic management poses significant challenges. We present a case study of a female patient, who presented with a large goiter and necrotizing fasciitis of the left breast, necessitating emergency total mastectomy. Our case emphasizes on the choice of anesthetic technique, which is very crucial in minimizing risks associated with potential airway compromise and to ensure optimal intraoperative conditions. Close collaboration between the surgical and anesthesia teams for a multidisciplinary approach and tailored anesthetic management strategies in complex surgical emergencies are required for patient safety and optimal surgical outcomes. Keywords: Neck swelling, Difficult airway, Fiberoptic intubation, Difficult intubation, Goiter Citation: Bagle A, Deshmukh S, Saxena R. Anesthetic management of a patient with large goiter and necrotizing fasciitis of left breast posted for emergency toilet mastectomy. Anaesth. pain intensive care 2024;28(6):1132-1134. DOI: 10.35975/apic.v28i6.2617 Received: April 14, 2024; Reviewed: July 27, 2024; Accepted: July 27, 2024