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Airway management of patient with Smith–Lemli–Opitz syndrome for gastric surgery: case report
Author(s) -
MATVEEVSKII ALEXANDER,
BERMAN LARRY,
SIDI AVNER,
GRAVENSTEIN DIETRICH,
KAYS DAVID
Publication year - 2006
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2005.01685.x
Subject(s) - medicine , intubation , airway , airway management , anesthesia , laryngeal mask airway , surgery , tracheal intubation , tracheal tube
Summary A case of term, 5‐day‐old boy, with low birth weight of 2.4 kg, with Smith–Lemli–Opitz syndrome (SLOS) who was first scheduled for gastrostomy tube placement and later for pylorotomy, is discussed. General appearance of face and small chin showed possible difficulties during intubation, which are well known from the literature. Anesthetic plan included possibility of fiberoptic intubation. Mask induction and ventilation had been successful but attempts to intubate patient using fiberoptic bronchoscope had not been feasible and both procedures had been performed using laryngeal mask airway (LMA#1) with spontaneous ventilation without complications. In this case, we are showing the ability to secure the airway in a small infant with SLOS using LMA and the possibility to perform successfully surgery on the gastrointestinal tract.