Year: 2017 | Month: February | Volume: 4 | Issue: 2 | Pages: 23-26
Anesthetic Management of Large Cystic Hygroma of Neck in a Newborn
Dr. Rakesh Kumar1, Dr. Bhupendra Singh1, Dr.Babita2, Dr. Naveen Paliwal1, Dr Neelam Meena3
1Assistant Professor, 3Associate Professor,
Dept. of Anesthesiology Dr. S. N. Medical College Jodhpur.
2ADMO Divisional Railway Hospital Jodhpur.
Corresponding Author: Dr. Bhupendra Singh
Cystic hygroma is a benign congenital tumour without any potential to malignancy. Its incidence of 1/6000 live birth commonly located in neck region. It is commonly present in pediatric age group rather than adult. Perioperative anesthetic management of large neck mass is real challenge due to difficulty in airway and hemodynamic management. We present a 3 month old male child admitted in hospital with swelling on right side of neck (10×8×6cm) extending to floor of mouth. . Initially child was put on conservative management. Swelling increases in size lead to push the tongue towards oropharynx causes respiratory distress and hemodynamic instability so emergency surgery was planned. Patient intubated keeping on spontaneous respiration after giving premedication and sevoflurane. Perioperative fluid and blood given according to weight and blood loss. After surgery patient shifted to neonatal ICU and next day patient extubated successfully.
Key words: cystic hygroma, newborn, anesthetic management.[PDF Full Text]