Successful anesthetic management of a child with an extensive facial hemangioma and high output cardiac failure for placement of a central venous catheter.
A two-and-a-half-year-old female with an extensive facial and lingual hemangioma, associated high output cardiac failure, and a history of difficult intubation presented for central venous catheter (CVC) placement for vincristine chemotherapy. Anesthetic management of this complex case is presented and the complicating medical conditions are discussed.
Shroff
Persis K
PK
Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, AR 72202-3591, USA.
Martin
Timothy W
TW
Schmitz
Michael L
ML
D018685:Anesthetics, Inhalation; D000972:Antineoplastic Agents, Phytogenic / Q000009:adverse effects / Q000627:therapeutic use; D016534:Cardiac Output, High / Q000150:complications*; D002405:Catheterization, Central Venous; D002675:Child, Preschool; D005153:Facial Neoplasms / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006391:Hemangioma / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D017214:Laryngeal Masks; D008738:Methyl Ethers; D000077149:Sevoflurane; D014750:Vincristine / Q000009:adverse effects / Q000627:therapeutic use
D018685:Anesthetics, Inhalation; D000972:Antineoplastic Agents, Phytogenic; D008738:Methyl Ethers; D000077149:Sevoflurane; D014750:Vincristine