Airway management of patient with Smith-Lemli-Opitz syndrome for gastric surgery: Case report

Alexander Matveevskii, Larry Berman, Avner Sidi, Dietrich Gravenstein, David Kays

Research output: Contribution to journalArticle


A case of term, 5-day-old boy, with low birth weight of 2.4 kg, with Smith-Lemli-Opitz syndrome (SLOS) who was first scheduled for gastrostomy tube placement and later for pylorotomy, is discussed. General appearance of face and small chin showed possible difficulties during intubation, which are well known from the literature. Anesthetic plan included possibility of fiberoptic intubation. Mask induction and ventilation had been successful but attempts to intubate patient using fiberoptic bronchoscope had not been feasible and both procedures had been performed using laryngeal mask airway (LMA#1) with spontaneous ventilation without complications. In this case, we are showing the ability to secure the airway in a small infant with SLOS using LMA and the possibility to perform successfully surgery on the gastrointestinal tract.

Original languageEnglish (US)
Pages (from-to)322-324
Number of pages3
JournalPaediatric anaesthesia
Issue number3
StatePublished - Mar 1 2006
Externally publishedYes



  • Airway difficulties
  • Smith-Lemli-Opitz syndrome
  • Surgery
  • Ventilation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Anesthesiology and Pain Medicine

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