Anaesthetic Management of a Large Orbital Tumour with Intracranial Extension: A Case Report

Geetha Lakshminarasimhaiah^*, Priya Mithali, Karthik Lakshmikantha, Pavithra Venkateswaran, Smita Musti and Swathy Iyengar

Department of Neuroanaesthesia and Neurocritical Care, Ramaiah medical College and Hospitals, Bengaluru, India

*Corresponding Author : Geetha Lakshminarasimhaiah
Associate professor, Department of Neuroanaesthesia and Neurocritical Care, Ramaiah medical College and Hospitals, Bengaluru, India
Tel: 9611897899
E-mail: geetha4kiran@yahoo.in

Received: March 03, 2018 Accepted: April 05, 2018 Published: April 10, 2018

Citation: Lakshminarasimhaiah G, Mithali P, Lakshmikantha K, Venkateswaran P, Musti M, et al. (2018) Anaesthetic Management of a Large Orbital Tumour with Intracranial Extension: A Case Report. Analg Resusc Curr Res 7:2. doi: 10.4172/2324-903X.1000160

Large tumours involving the face cause disfigurement that creates a scenario of difficult mask ventilation and intubation. Awake fibreoptic intubation may not be feasible in all patients with difficult mask ventilation due to various reasons. In addition, surgical manipulation of tumours involving the face can elicit trigeminocardiac reflex and result in haemodynamic instability. We report a case of a large orbital lesion extending upto upper lip with intracranial extension in an uncooperative
patient managed with induction of anaesthesia with paediatric face mask. Intubation was achieved with videolaryngoscopy. Repeated surgical stimulation of mandibular and maxillary nerve resulted in trigemino cardiac reflex requiring vagolytic therapy.