Use of Intravenous Propranolol for Control of a Large Cervicofacial Hemangioma in a Critically Ill Neonate

Publication date: Available online 12 February 2016
Source:International Journal of Pediatric Otorhinolaryngology
Author(s): Shanik J. Fernando, Sabra Leitenberger, Matt Majerus, Alfons Krol, Carol J. MacArthur
Cervicofacial segmental infantile hemangiomas (IH) may result in airway obstruction requiring use of propranolol to induce hemangioma regression and reestablish the airway. We present the first case using intravenous (IV) propranolol for control of airway obstruction and rapid expansion of cervicofacial IH in the setting of necrotizing enterocolitis (NEC) impaired gastrointestinal function. Intravenous dosing of propranolol was tolerated well in a critically ill neonate with multisystem complications of prematurity.



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