Successful anesthetic management of a giant lower lip hemangioma patient using high flow nasal cannula -a case report

Giant lip hemangioma is a rare disease that may cause difficulty in preoxygenation and ventilation when using face masks and intubation during general anesthesia induction. A laparoscopic cholecystectomy was planned for a 77-year-old woman. The patient had a giant lower lip hemangioma that was 12 x...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2021, 74(6), , pp.546-551
Main Authors: Kim, Ji Yeon, Kim, Hangaram, Heo, Min Hee, Kim, Kyung Woo, Lee, Sang-Il, Kim, Kyung-Tae, Park, Jang Su, Choe, Won Joo, Kim, Jun Hyun
Format: Article
Language:English
Subjects:
Aged
airway management
Anesthetics
Cannula
Case Report
continuous positive airway pressure
Female
general anesthesia
hemangioma
Hemangioma - diagnostic imaging
Hemangioma - surgery
Humans
Lip
mouth neoplasms
Oxygen
마취과학
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Summary:Giant lip hemangioma is a rare disease that may cause difficulty in preoxygenation and ventilation when using face masks and intubation during general anesthesia induction. A laparoscopic cholecystectomy was planned for a 77-year-old woman. The patient had a giant lower lip hemangioma that was 12 x 5 x 5 cm, which made preoxygenation and ventilation through a face mask impossible and put her at risk of hemangioma rupture. We preoxygenated her through a high-flow nasal cannula (HFNC). Following propofol and succinylcholine administration, we intubated the patient with a video laryngoscope without desaturation, hemangioma rupture, or CO2 retention. HFNC is a useful tool when difficult intubation is expected in patients who have problems using conventional face masks.
ISSN:2005-6419
2005-7563
DOI:10.4097/kja.21231