Difficult mask ventilation: Tegaderm for sealing a patient's fate!

The usefulness of caffeine to ameliorate the situationmay point to the apnea of central origin and the patient’s prematurity. The prognosis of holoprosencephaly is very poor, with only 50% of patients surviving by 4 to 5 months of age, and only 20% of patients surviving beyond 12 months of age. Treatment is usually supportive. Ventriculoperitoneal shunt for hydrocephalus, fundoplication, or gastrostomy tube placement in cases of GERD and corrective surgeries for orofacial deformities are some of the surgeries required [4]. Anesthetic management of holoprosencephalic patients should involve investigations for other associated congenital anomalies; optimization of endocrine dysfunction; seizure prophylaxis; avoidance of general anesthesia wherever possible; avoidance of opioids when using general anesthesia; maintaining normal HR and body temperature [5]; anticipating airway difficulties; and postoperative apnea monitoring.