Introduction: Significant difference exists in the physiology and anatomy of paediatric and adult airway, requiring an effective intervention, in case the emergency arises. We present a case of 3 year old child with massive lipoma on the anterior aspect of neck. 

Case Report: A 3 year old girl, weighing 13 kg, presented with a massive neck mass, Her swelling was supported with cotton padding and head with the ring underneath. Child was induced adequately mask ventilated in lateral position. Inj fentanyl 25 µg i.v, inj. propofol 25 mg i.v given.  After obtaining adequate ventilation, inj. suxamethonium 25 mg i.v given. Laryngoscopy was done in lateral position and child was intubated successfully in first attempt with uncuffed ETT of ID 4.5mm and the position of the tube was confirmed by EtCO₂ and auscultation (figure 3). Then the child was made supine.

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Dr Priyanka Bansal 

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