RT Book, Section A1 Baker, Paul A. A1 Sottas, Cédric A2 Hung, Orlando R. A2 Murphy, Michael F. SR Print(0) ID 1202478748 T1 Cannot Intubate and Cannot Oxygenate in an Infant After Induction of Anesthesia T2 Hung’s Management of the Difficult and Failed Airway, 4th Edition YR 2024 FD 2024 PB McGraw Hill PP New York, NY SN 9781264278329 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1202478748 RD 2024/10/09 AB A 21-month-old boy with CHARGE syndrome (Figure 50.1) was brought to the operating room for a gastroscopy, echocardiogram, auditory brainstem response (ABR) test, grommets, and examination of his ears and airway under general anesthesia. His medical and surgical history included tracheobronchomalacia, left choanal atresia, a tracheoesophageal fistula (TOF) repair at age 2 days and insertion of a percutaneous endoscopic gastrostomy (PEG). From his past anesthetic history, it was noted that he had difficulty to face-mask ventilation (FMV) and that the use of an extraglottic airway (EGD) did not improve his ventilation. It was also found that direct laryngoscopy and tracheal intubation were becoming increasingly difficult with successive procedures. The child was assessed preoperatively and it was reported that he remained clinically unchanged since the previous anesthesia one year ago.