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

• Published in: Korean journal of anesthesiology Vol. 74; no. 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: Journal Article
• Language: English
• Published: Korea (South) Korean Society of Anesthesiologists 01.12.2021; 대한마취통증의학회
• 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; General anesthesia; Airway management; Hemangioma; Mouth neoplasms; Cannula; Continuous positive airway pressure
• ISSN: 2005-6419; 2005-7563; 2005-7563
• DOI: 10.4097/kja.21231

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.