Journal of Anesthesia

, Volume 20, Issue 3, pp 215–219 | Cite as

Pre-anesthetic evaluation can play a crucial role in the determination of airway management in a child with oropharyngeal tumor

  • Yoshihiro Aoi
  • Yoshinori Kamiya
  • Masashi Shioda
  • Ryosuke Furuya
  • Yoshitsugu Yamada
Clinical reports

Abstract

We experienced a case of a huge hemangioma occupying the oropharyngeal space in an 11-year-old child. Although urgent surgical tracheostomy under local anesthesia was suggested initially, medical interview and findings of computerized tomography and fiberoptic laryngoscopy revealed that the airway of the patient was relatively stable when she was in the semi-left decubitus position. General anesthetic induction would have had potential risks of airway obstruction. Thus, after placing the patient in the semi-left decubutus position, we chose semi-awake induction to secure the airway. With a small dose of fentanyl, we accomplished orotracheal intubation. In this report, we discuss the importance of referring to an airway management algorithm when encountering a difficult airway.

Key words

Airway management Oropharyngeal tumor Preoperative examinations Avoiding tracheostomy 

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Copyright information

© JSA 2006

Authors and Affiliations

  • Yoshihiro Aoi
    • 1
  • Yoshinori Kamiya
    • 1
  • Masashi Shioda
    • 1
  • Ryosuke Furuya
    • 1
  • Yoshitsugu Yamada
    • 1
  1. 1.Department of Anesthesiology and Intensive Care MedicineYokohama City University Graduate School of MedicineYokohamaJapan

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