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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2018; 05(03): 190-192
DOI: 10.1055/s-0038-1655899
Case Report
Indian Society of Neuroanaesthesiology and Critical Care

Unanticipated Difficulty in an Anticipated Difficult Airway in the Neurointervention Suite: A Case Report

Rajashree Uday Gandhe
1   Division of Anaesthesiology, Department of Neuroanaesthesia, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
,
Chinmaya Pradeep Bhave
1   Division of Anaesthesiology, Department of Neuroanaesthesia, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
,
Avinash Sahebarav Kakde
1   Division of Anaesthesiology, Department of Neuroanaesthesia, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
,
Kalyani Anand Sathe
1   Division of Anaesthesiology, Department of Neuroanaesthesia, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Publication History

Received: 27 February 2018

Accepted after revision: 27 April 2018

Publication Date:
11 May 2018 (online)

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Abstract

Airway management of patients with craniofacial vascular malformations poses many challenges. Establishment of a secure airway is a prerequisite for safe anesthetic management of these patients. We report a case of a 45-year-old man presenting with a facial vascular malformation involving the tongue, parapharynx, and extending into the neck, resulting in airway compromise scheduled for endovascular embolization.

Keywords

difficult airway - neurointervention - vascular malformation
 

  • References

  • 1 Joshi C, Ambi U, Prakashappa DS, Mirji P. Anaesthetic considerations in macroglossia due to haemangioma of the tongue: a case report. J Clin Diagn Res 2011; 5: 840-842
    PubMedGoogle Scholar
  • 2 Richter GT, Braswell L. Management of venous malformations. Facial Plast Surg 2012; 28 (06) 603-610
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Bajwa SS, Panda A, Bajwa SK, Singh A, Parmar SS, Singh K. Anesthetic and airway management of a child with a large upper-lip hemangioma. Saudi J Anaesth 2011; 5 (01) 82-84
    CrossrefPubMedGoogle Scholar
  • 4 Griffith CL, Herod J. Anaesthesia for massive venous malformation with DIC and strategies for minimising blood loss. Case report. Pediatr Anesthesia Crit Care J 2015; 3: 22-25
    PubMedGoogle Scholar
  • 5 Schmitz S, Boven MV, Hamoir M. Percutaneous tracheostomy in emergency situation setting. Ann Otolaryngol Rhinol 2015; 2: 1028
    PubMedGoogle Scholar