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You receive word that the clinic is rushing over a patient with a genetic syndrome and respiratory distress. You have a few moments to look in the electronic chart of the patient and set up the resuscitation room. Which of the following syndromes would make you concerned for a potential difficult airway scenario?
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October 31, 2017 at 8:21 am
E) All of the above
Down syndrome patients are at increased risk due to short necks, macroglossia, mandibular hypoplasia, and atlantoaxial instability. Beckwith-Wiedemann is an overgrowth syndrome, and patients may have macroglossia. Goldenhar syndrome results in hemifacial microsomia. Mucopolysaccaridoses result in mucopolysaccharide depositions leading to coarse facies and macroglossia. Other genetic syndromes at particular risk for difficult airway include Pierre-Robin, Treacher-Collins, and Apert syndromes (all result in midface or mandibulary hypoplasia), and Klippel-Feil syndrome (due to decreased neck mobility with vertebral fusions).