title: Management of Anesthesia in a Child with a Large Neck Rhabdoid Tumor.
abstract: OBJECTIVE
  The aim of this paper was to report the management of anesthesia of a child with a large neck rhabdoid tumor.
  
  
  METHODS
  A 9-month- old female patient underwent urgent neck tumor excision due to intratumoral bleeding from a large tumor that compressed and dislocated the trachea; therefore, intubation was expected to be difficult. Sevoflurane inhalation induction was utilized to maintain spontaneous respiration. Oral laryngoscopy revealed Cormack-Lehane grade 3 laryngeal view. The trachea was intubated using a reinforced tube on the third attempt. Fiberoptic bronchoscope-assisted intubation was planned as an alternative in case of conventional intubation failure. Anticipation of massive blood loss necessitated central venous catheterization.
  
  
  CONCLUSIONS
  Establishing a safe airway, intubation during spontaneous breathing and invasive hemodynamic monitoring are crucial factors in the anesthetic management of pediatric patients with a large neck tumor.
authors.affiliation: Department of Anesthesia, University Children's Hospital, Belgrade, Serbia.
authors.forename: Marija
authors.initials: M
authors.lastname: Stevic
authors.forename: Zlatko
authors.initials: Z
authors.lastname: Bokun
authors.forename: Irina
authors.initials: I
authors.lastname: Milojevic
authors.forename: Ivana
authors.initials: I
authors.lastname: Budic
authors.forename: Branislav
authors.initials: B
authors.lastname: Jovanovic
authors.forename: Zoran
authors.initials: Z
authors.lastname: Krstic
authors.forename: Dusica
authors.initials: D
authors.lastname: Simic
mesh_terms: D000769:Anesthesia, Inhalation / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000379:methods*; D007828:Laryngoscopy; D008738:Methyl Ethers / Q000008:administration & dosage; D018335:Rhabdoid Tumor / Q000601:surgery*; D000077149:Sevoflurane
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane