Airway Management in a Neonate with Pierre–Robin Syndrome: Challenges for the Anesthesiologist

Abstract

Pierre–Robin sequence (PRS) is a developmental abnormality starting from 9 to 10 weeks of gestation. Hypoplasia of the mandible progresses eventually to a receding mandible, large tongue, and airway obstruction which may be associated with cleft palate and recurrent respiratory infections. The craniofacial abnormalities make the airway difficult posing a threat to the anesthesiologist. We present a case of difficult airway in a 14-day-old neonate having PRS associated with Hirschsprung’s disease posted for laparotomy.