Airtraq® aided tracheal intubation in a patient of Down's syndrome with traumatic atlantoaxial dislocation

Down's syndrome is a genetic disorder that is associated with multiple congenital anomalies having great impact on anaesthetic management. Apart from this, it also predisposes the patient to the atlantoaxial dislocation making the management of airway a difficult task. In our case, the child already had traumatic atlantoaxial dislocation that further makes the successful airway management without progression of any neurological injury a challenge. Hereby, we report the successful management of an 8-year-old child with Down's syndrome and traumatic atlantoaxial dislocation using Airtraq ® optical laryngoscope.