Intractable Rare Dis Res. 2019;8(4):286-288. (DOI: 10.5582/irdr.2019.01072)

Successful anaesthesia management of a child with hunter syndrome for adenotonsillectomy.

Punj J, Kaler P, Ankalagi B, Prasad A, Sinha R, Sagar P

Airway management in a child with hunter syndrome is a challenge to the anesthetists. Various methods to achieve this are reported in literature. Here we describe another method in a three year old male child posted for adenotonsillectomy and myringotomy. After check videolaryngoscopy with C Mac blade size 2, vocal cords were not visible even with various monoevres. Thus a larger blade size 3 was used to place it under the epiglottis after which posterior part of vocal cords became visible and bougie guided endotracheal intubation was successful. Thus we recommend that in a child with hunter syndrome if vocal cords are not visible, a larger blade can be utilized to place under the epiglottis to visualize the vocal cords for successful endotracheal intubation.

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