Vol - 28, Issue - 11
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[This article belongs to Volume - 28, Issue - 11]
International Medical Journal
Journal ID : IMJ-15-11-2021-1060
Total View : 365
Title : MANAGEMENT OF DIFFICULT AIRWAY IN A CASE OF APERT SYNDROME FOR CRANIOSYNOSTOSIS AND SYNDACTYLY RELEASE SURGERY

Abstract : Apert syndrome is an autosomal dominant syndrome with a combination of craniosynostosis, syndactyly and midfacial hypoplasia. The incidence is about 15 in 1,000,000 live births. It may present a number of challenges to the anaesthesiologist such as a difficult airway, difficult IV access, airway hyper-reactivity, temperature dysregulation, high blood loss and venous air embolism. Difficult intubation and ventilation may be observed because of abnormal airways. We report a successful endotracheal intubation with use of video laryngoscope to improve visualization of the airway and fibre optic bronchoscope as a stylet for endotracheal tube at the age of 8 months and endotracheal intubation for the same patient for syndactyly release surgery at the age of 5 years.
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