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

Background 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. Case A laparoscopic cholecystectomy was planned for a 77-year-old woman. The patient had a giant lower lip hemangiom...

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Autores principales: Ji Yeon Kim, Hangaram Kim, Min Hee Heo, Kyung Woo Kim, Sang-Il Lee, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Jun Hyun Kim
Formato: article
Lenguaje:EN
Publicado: Korean Society of Anesthesiologists 2021
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Acceso en línea:https://doaj.org/article/6fb2183ad1c840be82366e2dd34dd4d9
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Sumario:Background 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. Case 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. Conclusions HFNC is a useful tool when difficult intubation is expected in patients who have problems using conventional face masks.