SUCCESSFUL ANAESTHETIC MANAGEMENT OF CYSTIC HYGROMA IN A NEONATE

Abstract

Anaesthetic management
may be challenging in a neonate with
large head and neck mass because
these patients have difficulty in intubation
and are at risk for sudden complete airway
occlusion resulting in hypoventilation
and hypoxemia. Here we report a successful
anaesthetic management of cystic
hygroma in a neonate . A fifteen day
old baby presented with large cystic hygroma
on the right side of the face and
neck. The mass was large enough to disturb
swallowing. Surgical removal of the
mass was planned. During inhalational
induction, there was difficulty in maintaining
the airway and also difficulty in intubation
was encountered. Postoperatively
there was delayed recovery. With apnea
monitor baby was observed and extubated
after full recovery.