Resumo

DELGADO, Walter; ALONSO, Raúl Eduardo  e  DE BARROS, Ana Claudia. Anesthesia in pediatric patient with Treacher Collins Syndrome. An. Fac. Cienc. Méd. (Asunción) [online]. 2020, vol.53, n.3, pp.153-158. ISSN 1816-8949.  https://doi.org/10.18004/anales/2020.053.03.153.

Treacher Collins Syndrome (TCS) constitutes a challenge for the anesthesiologist due to craniofacial malformations that make management of the airway and intubation difficult. We present a case of a patient (8-year-old) diagnosed with TCS who had to undergo surgery for the placement of a bone conduction implant under general anesthesia. She had a history of difficult intubation, marked micrognathia and a thyromental distance of 2 cm. An intubation scheme in two sequential stages was proposed. In the first stage, an evaluation of the airway (visualization of the glottis) was carried out under sedation with dexmedetomidine, remifentanil and propofol. When the glottis was visualized, we proceeded to the second stage to carry out intubation after anesthetic induction. The successful management of this case was based on adequate sedation and the use of a video laryngoscope with a curved blade for prior evaluation of the airway and subsequent intubation without complications.

Palavras-chave : Difficult Airway; Treacher Collins; Anesthesia; Pediatrics; Video Laryngoscope..

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