Successful intubation in a child with Lowe syndrome using fiberscope and Glidescope®

Abstract

We report the airway management in anticipated difficult airway of a two year old male child with diagnosis of Lowe syndrome, employing two airway management devices. Fiberscope assisted Glidescope® intubation was employed to manage the difficult airway. Lowe syndrome is a rare inherited metabolic disorder with hypotonia, delayed motor and mental milestones, renal dysfunction and hypokalemia. The child had an anticipated difficult airway by virtue of large head circumference with frontal bossing, retrognathia and high arched palate. A careful preanesthetic evaluation and discrete attention to the distinctive components of the syndrome are the essence of successful perioperative management. Airway management in these patients requires standard algorithmic approach to difficult airway with careful selection of ventilation and intubation techniques and aids suitable in these situations to prevent any catastrophes.