An update in paediatric airway management

Escobar syndrome, difficult airway management in pediatrics: A case report

“…This strategy has been described by other authors (3); similarly, there is a report of intubation with direct laryngoscopy (9) and airway management with LMA (2). The availability of new airway devices allowed the use of elements not described in previous studies, such as videolaryngoscopy with hyperangulated pediatric D-Blade® and AirQ® LMA for intubation; these are already included in newer pediatric airway management algorithms (4,5).…”

“…Contracture bands (pterygium) around the joints is the of cause restricted mobility in these patients which, added to the association with cleft palate, ankyloglossia, syngnathia, micrognathia, restricted mouth opening and spinal anomalies, among others (2,3), constitute a challenge for the anesthesia care team, especially as concerns airway management. There are few reports in the literature and it is worth highlighting this clinical case of consecutive anesthesia interventions in the same patient with evidence of progression of the disease which required an individualized approach to the airway, adaptation of the current algorithms in accordance with the clinical stage of the patient (4,5), and use of devices such as videolaryngoscope and laryngeal mask (LMA) for intubation, not previously described in patients with this pathology.…”