Successful intubation with air-Q in Pierre Robin syndrome

Abstract

Airway access is particularly difficult in infants and children with some anatomical deformities, usually associated
with congenital syndromes. Craniofacial abnormalities are commonly seen in the Pierre Robin Syndrome (PRS),
Treacher Collins and Goldenhar syndromes. The Pierre Robin sequence consists of micrognathia and relative
macroglossia with or without cleft palate. In the severe case, airway obstruction and feeding difficulties are
present. Endotracheal intubation may be difficult, or in some case even impossible. We present a case report of
intubation of a child, suffering from PRS, by using air-Q, a new intubating LMA, and use of tongue stitches to
maintain airway during recovery.