Freeman-Sheldon (whistling face) syndrome. Anaesthetic and airway management.
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.
Munro
H M
HM
Section of Pediatric Anesthesiology, C. S. Mott Children's Hospital, Ann Arbor, MI 48109, USA.
Butler
P J
PJ
Washington
E J
EJ
D015360:Analgesia, Epidural; D000769:Anesthesia, Inhalation; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D020680:Bronchoscopes; D002675:Child, Preschool; D003025:Clubfoot / Q000473:pathology / Q000601:surgery*; D019465:Craniofacial Abnormalities / Q000473:pathology / Q000503:physiopathology*; D004867:Equipment Design; D005385:Fingers / Q000002:abnormalities / Q000473:pathology; D006221:Halothane / Q000008:administration & dosage; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation; D017214:Laryngeal Masks; D007828:Laryngoscopy; D008297:Male; D010149:Postoperative Pain / Q000517:prevention & control; D010351:Patient Discharge; D013577:Syndrome
D018685:Anesthetics, Inhalation; D006221:Halothane