• Danton S Char, Melanie Gipp, M Gail Boltz, and Glyn D Williams.
• Department of Anesthesiology, Stanford University School of Medicine, Palo Alto, CA 94305, USA. dchar@stanford.edu
• Paediatr Anaesth. 2012 Sep 1;22(9):932-4.

AbstractWe report the challenging case of a 1-week-old, term, 2.4 kg neonate with Goldenhar syndrome (including microcephaly, left microtia, left facial palsy, dextro-scoliosis of the cervical spine, and cervico-thoracic levoscoliosis), multiple ventricular septal defects, a type B interrupted aortic arch, a large patent ductus arteriosis, and radiographic and clinical signs concerning for an unstable cervical spine. Our anesthesia team was consulted for perioperative management of this patient during her surgical repair. This case report describes the use of the Air-Q size 1 laryngeal airway (LA) to assist fiberoptic intubation in an ASA 4 neonate with cardiac disease, an anticipated difficult airway with the addition of an unstable cervical spine, as well as the anesthetic techniques used to maintain hemodynamic stability while the airway was secured.© 2012 Blackwell Publishing Ltd.

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