1.Successful anesthetic management of a giant lower lip hemangioma patient using high flow nasal cannula-a case report-
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
Korean Journal of Anesthesiology 2021;74(6):546-551
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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