Edward’s syndrome: A rare cause of difficult intubation-utility of left molar approach

Edward’s syndrome (trisomy 18) is an autosomal abnormality with dysmorphic face, visceral deformities and delayed mental and motor development including congenital heart disease. Challenges may arise during mask ventilation, laryngoscopy and/or intubation of the trachea due to dysmorphic face. Diffi...

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Bibliographic Details
Main Authors: Teena Bansal, Savita Saini
Format: Article
Language:English
Published: Taylor & Francis Group 2016-04-01
Series:Egyptian Journal of Anaesthesia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110184915001063
Description
Summary:Edward’s syndrome (trisomy 18) is an autosomal abnormality with dysmorphic face, visceral deformities and delayed mental and motor development including congenital heart disease. Challenges may arise during mask ventilation, laryngoscopy and/or intubation of the trachea due to dysmorphic face. Difficult airway cart should be kept ready. Left molar approach using a standard Macintosh blade improves the laryngoscopic view in patients with difficult midline laryngoscopy. We hereby present a case report of a 2 year old male child with Edward’s syndrome posted for evacuation and drainage of brain abscess, intubated successfully using left molar approach.
ISSN:1110-1849