Intravenous line establishment and anesthesia induction in an upper extremity with congenital arteriovenous malformation

A 19-year-old male patient was planned to undergo emergency surgery due to a thoracic mass causing paraplegia. He had a history of surgery due to an intracranial mass. In his physical examination, he had skin discoloration due to arteriovenous malformation (AVM) on the anterior chest, shoulder, arm, forearm, and fingers. His American Society of Anesthesiologists status was IIIE. He was taken to the surgery table and monitored in the standard manner. Through a 22-G intact intravenous line, anesthesia was induced with 500 mg sodium thiopental and 8 mg vecuronium, and maintenance was provided with 2.5% sevoflurane in 50% O2 and remifentanil.

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