Management of Anesthesia in a Child with a Large Neck Rhabdoid Tumor

Objective: The aim of this paper was to report the management of anesthesia of a child with a large neck rhabdoid tumor. Clinical Presentation and Intervention: A 9-month- old female patient underwent urgent neck tumor excision due to intratumoral bleeding from a large tumor that compressed and disl...

Full description

Saved in:
Bibliographic Details
Published in:Medical principles and practice 2016-01, Vol.25 (3), p.290-292
Main Authors: Stevic, Marija, Bokun, Zlatko, Milojevic, Irina, Budic, Ivana, Jovanovic, Branislav, Krstic, Zoran, Simic, Dusica
Format: Article
Language:English
Subjects:
Anesthesia, Inhalation - methods
Anesthetics, Inhalation - administration & dosage
Case Report
Female
Head and Neck Neoplasms - surgery
Humans
Infant
Intubation, Intratracheal - methods
Laryngoscopy
Methyl Ethers - administration & dosage
Rhabdoid Tumor - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: The aim of this paper was to report the management of anesthesia of a child with a large neck rhabdoid tumor. Clinical Presentation and Intervention: A 9-month- old female patient underwent urgent neck tumor excision due to intratumoral bleeding from a large tumor that compressed and dislocated the trachea; therefore, intubation was expected to be difficult. Sevoflurane inhalation induction was utilized to maintain spontaneous respiration. Oral laryngoscopy revealed Cormack-Lehane grade 3 laryngeal view. The trachea was intubated using a reinforced tube on the third attempt. Fiberoptic bronchoscope-assisted intubation was planned as an alternative in case of conventional intubation failure. Anticipation of massive blood loss necessitated central venous catheterization. Conclusion: Establishing a safe airway, intubation during spontaneous breathing and invasive hemodynamic monitoring are crucial factors in the anesthetic management of pediatric patients with a large neck tumor.
ISSN:1011-7571
1423-0151
DOI:10.1159/000443017