A successful anaesthetic management of excision of huge sacrococcygeal teratoma in neonate

Sacrococcygeal Teratoma is a germ cell tumour although rare, commonly seen in neonate. It is a fast growing tumour,that sometimes it becomes even larger than the baby. Anaesthetic implications include difficulty in accessing i n t r a v e n o u s l i n e , p o s i t i o n i n g , i n t u b a t i o n challenge,intraoperative massive hemmorrhage, hypothermia and haemodynamic monitoring. This is a case report of very huge sacrococcygeal teratoma removal under general anaesthesia and controlled ventilation which posed various anaesthetic challenges and its successful management. Keyword :sacrococcygeal teratoma, intubation challenge,massive hemorrhage,hypothermia