| CASE REPORT |
|
| Year : 2017 | Volume
: 18
| Issue : 2 | Page : 69-72 |
|
|
Anesthetic consideration in a postchemotherapy pediatric patient for segmental mandibulectomy with free fibula reconstruction
Amit Kumar Mittal, Manoj Bhardwaj, Manisha Arora, Vani Bhageria
Department of Anaesthesiology, Rajiv Gandhi Cancer Institute, New Delhi, India
Correspondence Address:
Dr. Amit Kumar Mittal
Department of Anesthesiology, Rajiv Gandhi Cancer Institute, Sector-5, Rohini, New Delhi - 110 085
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/TheIAForum.TheIAForum_35_17
|
|
|
We report successful anesthetic management of a postchemotherapy pediatric patient having Ewing's Sarcoma mandible who underwent segmental mandibulectomy with free fibula reconstruction. The main challenges were securing difficult airway due to fragile mandible and maintenance of ideal blood rheostatic properties in an attempt to ensure optimal fluidity in microcirculation for the viability of flap. Other aspects of care like prevention of postoperative thrombosis of anastomotic vessels and need of tracheostomy for postoperative elective ventilation are being discussed.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
