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British Journal of Anaesthesia, 2002, Vol. 88, No. 5 726-728
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Airway management in an infant with congenital centrofacial dysgenesia

B. Carenzi*,1, R. M. Corso2, V. Stellino1, G. D. Carlino1, C. Tonini2, L. Rossini2 and G. Gentili1

1Department of Neurosurgery, Section of Anaesthesia and Intensive Care, A.S.L. Città di Bologna, Ospedale ‘Bellaria-C.A. Pizzardi’, via Altura 3, Bologna, Italy. 2Institute of Anaesthesiology and Intensive Care, University of Bologna, Ospedale Policlinico S. Orsola Malpighi, Italy*Corresponding author: via Renata di Francia 44, I-44100 Ferrara, Italy

{dagger}LMA® is the property of Intavent Limited.

The use of a laryngeal mask airway (LMA{dagger}) on two occasions, in a 53-day-old and 270-day-old male infant with Tessier N.3 and N.4 facial defects, using sedation and topical anaesthesia is described. The LMA was used to manage the airway and facilitate inhalation induction of anaesthesia as the facial deformities were thought to be too extensive for the safe use of a facemask. The LMA is an alternative to a facemask and secures the airway and facilitates the inhalation induction of anaesthesia in paediatric patients with severe facial deformities.

Br J Anaesth 2002; 88: 726–8


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