Journal of Anesthesiology & Clinical Science

Journal of Anesthesiology & Clinical Science

ISSN 2049-9752
Case report

Awake fiberoptic nasal intubation in an infant with a malignant rhabdoid tumor occupying the oral cavity: a case report

Arisa Tatsuno1, Hideya Katoh1, Fumika Taniguchi1, Masayuki Shibasaki1, Yuko Kato1, Teiji Sawa1* and Yasufumi Nakajima2

*Correspondence: Teiji Sawa

1. Department of Anesthesiology, Kyoto Prefectural University of Medicine, Japan.

Author Affiliations

2. Department of Anesthesiology, Kansai Medical University, Japan.


Malignant rhabdoid tumors develop in infants up to 1 year old. These tumors area very progressive pediatric cancer that is difficult to treat. We experienced a case involving anesthetic management for tracheostomy of an infant with a high risk of airway occlusion due to a rapidly growing malignant rhabdoid tumor on his tongue. The patient was successfully intubated using an endotracheal tube with a 3.0-mm inner diameter; this was accomplished by awake nasal intubation using a flexible rhinolaryngoscope with a 2.2-mm outer diameter. Awake nasal fiberscopic intubation is an alternative choice for difficult airway management in infants.

Keywords: Anesthesia induction, awake nasal fiberscopic intubation, malignant rhabdoid tumor, oral cavity tumor, pediatric difficult airway management

ISSN 2049-9752
Volume 4
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