This case describes a parturient with Barnes syndrome, a rare disorder characterized by subglottic stenosis, thoracic dystrophy, and small pelvic inlet, who underwent cesarean delivery of a neonate diagnosed with Barnes syndrome. Live simulation training was performed by multidisciplinary team to prepare for the spinal anesthetic, personnel flow between 2 operating rooms, and management of various airway scenarios for the newborn. After delivery, the neonate underwent laryngoscopy–bronchoscopy with successful intubation in the operating room because of labored breathing. Airway evaluation revealed subglottic stenosis, tracheomalacia/bronchomalacia. Collaboration among perinatologists, obstetric/pediatric anesthesiologists, pediatric head and neck surgeons, and neonatologists was integral to perioperative management of both the mother and child.
From the Departments of *Anesthesiology
‡Head and Neck Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California.
Accepted for publication January 4, 2018.
The authors declare no conflicts of interest.
Address correspondence to Antonio Hernandez Conte, MD, MBA, Department of Anesthesiology, Kaiser Permanente Los Angeles Medical Center, 4867 Sunset Blvd, 3rd Floor, Los Angeles, CA 90027. Address e-mail to Antonio.Conte@kp.org.