Successful intubation with air-Q in Pierre Robin syndrome

Airway access is particularly difficult in infants and children with some anatomical deformities, usually associated with congenital syndromes. Craniofacial abnormalities are commonly seen in the Pierre Robin Syndrome [PRS], Treacher Collins and Goldenhar syndromes. The Pierre Robin sequence consists of micrognathia and relative macroglossia with or without cleft palate. In the severe case, airway obstruction and feeding difficulties are present. Endotracheal intubation may be difficult, or in some case even impossible. We present a case report of intubation of a child, suffering from PRS, by using air-Q, a new intubating LMA, and use of tongue stitches to maintain airway during recovery

Hemiplegia caused by inadvertent subclavian artery double-lumen catheterization

Arterial puncture during central venous catheterization [CVC] is a relatively rare complication that may have devastating consequences. We present a case of left sided hemiplegia after inadvertent, unidentified right subclavian artery double-lumen catheterization in a 60 years aged male who had to undergo central venous catheterization for hemodialysis. The patient had had hemodialysis from the same intra arterial route thrice. Twenty days later, he was successfully managed in OR by removal of the catheter from his artery and manual compression for 20 minutes to control the bleeding