SUCCESSFUL ANAESTHETIC MANAGEMENT OF CYSTIC HYGROMA IN A NEONATE

Abstract : Anaesthetic management may be challenging in a neonate with large head and neck mass because these patients have difficulty in intubation and are at risk for sudden complete airway occlusion resulting in hypoventilation and hypoxemia. Here we report a successful anaesthetic management of cystic hygroma in a neonate . A fifteen day old baby presented with large cystic hygroma on the right side of the face and neck. The mass was large enough to disturb swallowing. Surgical removal of the mass was planned. During inhalational induction, there was difficulty in maintaining the airway and also difficulty in intubation was encountered. Postoperatively there was delayed recovery. With apnea monitor baby was observed and extubated after full recovery.