Karthik Lakshmikantha Author
Subjects of specialization
Affiliation
Neuroanaesthesia, Neurocritical Care
Department of Neuroanaesthesia and Neurocritical Care, Ramaiah medical College and Hospitals, Bengaluru, India
He is affiliated to Department of Neuroanaesthesia and Neurocritical Care, Ramaiah medical College and Hospitals, Bengaluru, India. He is a recipient of many awards and grants for his valuable contributions and discoveries in major area of subject research. His international experience includes various programs, contributions and participation in different countries for diverse fields of study. His research interests reflect in his wide range of publications in various national and international journals.
Case Report Subscription
Author(s): Geetha Lakshminarasimhaiah, Priya Mithali, Karthik Lakshmikantha, Pavithra Venkateswaran, Smita Musti and Swathy Iyengar
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.