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KMID : 0356920210740060546
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Korean Journal of Anesthesiology
2021 Volume.74 No. 6 p.546 ~ p.551
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Successful anesthetic management of a giant lower lip hemangioma patient using high flow nasal cannula -a case report-
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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
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Abstract
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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.
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KEYWORD
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Airway management, Cannula, Continuous positive airway pressure, General anesthesia, Hemangioma, Mouth neoplasms
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