Successful anesthetic management of a giant lower lip hemangioma patient using high flow nasal cannula-a case report-
- Author:
Ji Yeon KIM
1
;
Hangaram KIM
;
Min Hee HEO
;
Kyung Woo KIM
;
Sang-Il LEE
;
Kyung-Tae KIM
;
Jang Su PARK
;
Won Joo CHOE
;
Jun Hyun KIM
Author Information
- Publication Type:Case Report
- From:Korean Journal of Anesthesiology 2021;74(6):546-551
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
