The plight of kasabach-merritt syndrome in a 7 month old infant with obstructive facio-cervico-mediastinal cystic hygroma and hemangioma

The objective of this case are: 1. to present the pathophysiology and clinical manifestations of Kasabach- Merrit syndrome; 2. to present the anesthetic implications of a patient with a huge facio-cervico-mediastinal cystic hygroma with hemangioma on the floor of the mouth; 3. and to present alternative technique for positioning the head of this patient for direct laryngoscopy and endotracheal intubation.