Stevic, Marija (55804941500)Marija (55804941500)StevicBokun, Zlatko (56502163000)Zlatko (56502163000)BokunMilojevic, Irina (16679779600)Irina (16679779600)MilojevicBudic, Ivana (16548855200)Ivana (16548855200)BudicJovanovic, Branislav (8242860400)Branislav (8242860400)JovanovicKrstic, Zoran (6603679391)Zoran (6603679391)KrsticSimic, Dusica (16679991000)Dusica (16679991000)Simic2025-06-122025-06-122016https://doi.org/10.1159/000443017https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954452059&doi=10.1159%2f000443017&partnerID=40&md5=880a0a87e8cf905bbdab29fdae917328https://remedy.med.bg.ac.rs/handle/123456789/7820Objective: The aim of this paper was to report the management of anesthesia of a child with a large neck rhabdoid tumor. Clinical Presentation and Intervention: A 9-month- old female patient underwent urgent neck tumor excision due to intratumoral bleeding from a large tumor that compressed and dislocated the trachea; therefore, intubation was expected to be difficult. Sevoflurane inhalation induction was utilized to maintain spontaneous respiration. Oral laryngoscopy revealed Cormack-Lehane grade 3 laryngeal view. The trachea was intubated using a reinforced tube on the third attempt. Fiberoptic bronchoscope-assisted intubation was planned as an alternative in case of conventional intubation failure. Anticipation of massive blood loss necessitated central venous catheterization. Conclusion: Establishing a safe airway, intubation during spontaneous breathing and invasive hemodynamic monitoring are crucial factors in the anesthetic management of pediatric patients with a large neck tumor. © 2015 S. Karger AG, Basel.AnesthesiaChildNeckRhabdoid