Anesthesia & Clinical Research
Open Access

Abstract

General Anesthesia Preceded by Awake-Trial of LMA in a Child with Freeman-Sheldon Syndrome

Shreyasi Ray, JyotirmayKirtania, Ashok Das, Bivash Halder and Asim Kumar Kundu

We report the anesthetic management of a five-year-old girl child with Freeman-Sheldon syndrome undergoing surgical correction of the restricted mouth opening and the deformities of the feet. The anticipated difficult airway (mouth opening of 12 mm, MallampatiIV) was safely and successfully managed using an “awake-trial” of LMA before the actual LMA insertion under general anesthesia. Subsequent tracheal intubation through the LMA was done using a Desjardin-gallstone-forceps as a stabilization device. Perioperative period was uneventful with the complete avoidance of halogenated inhalational anesthetic agents, suxamethonium, metoclopramide, droperidol, and neuromuscular blocking agents.