Pediatric Anesthesia · 1997 · 77 citations · 0 references
MedicineAnesthesiologyPediatricsAnesthesiaLaryngologyPediatric AnesthesiologyAirway AssessmentAirway DisordersAirway ManagementAirway ObstructionAirway SurgeryPediatric BronchoscopyCaudal Epidural InjectionIndirect LaryngoscopyInhalational InductionInhalational SedativesLaryngeal Mask Airway DevicesLaryngeal Mask Airway UsePediatric Difficult Airway ManagementPediatric Inhalational Anesthesia
We describe the anaesthetic management of Freeman-Sheldon syndrome in a two-and-a-half year old undergoing club foot correction. Following an inhalational induction using halothane, tracheal intubation by direct laryngoscopy proved impossible. A laryngeal mask airway was inserted and intubation with a 4.5 tracheal tube was successfully achieved using a fibreoptic bronchoscope passed through the LMA. The child had an uneventful anaesthetic course. A caudal epidural was used for postoperative analgesia and the child was discharged home on day two. The anaesthetic and airway management options of this syndrome are outlined.