Korean J Anesthesiol.  2021 Dec;74(6):546-551. 10.4097/kja.21231.

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

• Kim JY
• Kim H
• Heo MH
• Kim KW
• Lee SI
• Kim KT
• Park JS
• Choe WJ
• Kim JH

• KMID: 2522643
• DOI: http://doi.org/10.4097/kja.21231

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.

Keyword

Airway management; Continuous positive airway pressure; Difficult airway; General anesthesia; Hemangioma; Nasal cannula