Airway Management in a Patient with Wolf-Hirschhorn Syndrome

We present a case of a 3-month-old female with Wolf-Hirschhorn syndrome (WHS) undergoing general anesthesia for laparoscopic gastrostomy tube placement with a focus on airway management. WHS is a rare 4p microdeletion syndrome resulting in multiple congenital abnormalities, including craniofacial de...

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Main Authors: John F. Gamble, Dinesh J. Kurian, Andrea G. Udani, Nathaniel H. Greene
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/7070125
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author John F. Gamble
Dinesh J. Kurian
Andrea G. Udani
Nathaniel H. Greene
author_facet John F. Gamble
Dinesh J. Kurian
Andrea G. Udani
Nathaniel H. Greene
author_sort John F. Gamble
collection DOAJ
description We present a case of a 3-month-old female with Wolf-Hirschhorn syndrome (WHS) undergoing general anesthesia for laparoscopic gastrostomy tube placement with a focus on airway management. WHS is a rare 4p microdeletion syndrome resulting in multiple congenital abnormalities, including craniofacial deformities. Microcephaly, micrognathia, and glossoptosis are common features in WHS patients and risk factors for a pediatric airway that is potentially difficult to intubate. We discuss anesthesia strategies for airway preparation and management in a WHS patient requiring general anesthesia with endotracheal intubation.
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spelling doaj-art-76448214ebb74503b13495af36d34fa32025-02-03T05:58:35ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/70701257070125Airway Management in a Patient with Wolf-Hirschhorn SyndromeJohn F. Gamble0Dinesh J. Kurian1Andrea G. Udani2Nathaniel H. Greene3Department of Anesthesiology, Duke University Medical Center, DUMC 3094, Durham, NC 27710, USADepartment of Anesthesiology, Duke University Medical Center, DUMC 3094, Durham, NC 27710, USADepartment of Anesthesiology, Duke University Medical Center, DUMC 3094, Durham, NC 27710, USADepartment of Anesthesiology, Duke University Medical Center, DUMC 3094, Durham, NC 27710, USAWe present a case of a 3-month-old female with Wolf-Hirschhorn syndrome (WHS) undergoing general anesthesia for laparoscopic gastrostomy tube placement with a focus on airway management. WHS is a rare 4p microdeletion syndrome resulting in multiple congenital abnormalities, including craniofacial deformities. Microcephaly, micrognathia, and glossoptosis are common features in WHS patients and risk factors for a pediatric airway that is potentially difficult to intubate. We discuss anesthesia strategies for airway preparation and management in a WHS patient requiring general anesthesia with endotracheal intubation.http://dx.doi.org/10.1155/2016/7070125
spellingShingle John F. Gamble
Dinesh J. Kurian
Andrea G. Udani
Nathaniel H. Greene
Airway Management in a Patient with Wolf-Hirschhorn Syndrome
Case Reports in Pediatrics
title Airway Management in a Patient with Wolf-Hirschhorn Syndrome
title_full Airway Management in a Patient with Wolf-Hirschhorn Syndrome
title_fullStr Airway Management in a Patient with Wolf-Hirschhorn Syndrome
title_full_unstemmed Airway Management in a Patient with Wolf-Hirschhorn Syndrome
title_short Airway Management in a Patient with Wolf-Hirschhorn Syndrome
title_sort airway management in a patient with wolf hirschhorn syndrome
url http://dx.doi.org/10.1155/2016/7070125
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AT andreagudani airwaymanagementinapatientwithwolfhirschhornsyndrome
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