Tongue Oedema and Negative Pressure Pulmonary Oedema Following I-Gel Use in a Child with Pycnodysostosis: A Case Report

This case report discusses the perioperative management of a 12-year-old male with multiple complex comorbidities, including achondroplasia, craniosynostosis, syndromic airway, and obstructive sleep apnoea (OSA), who underwent surgery for a non-union fracture. After using an I-Gel airway device, the patient experienced severe tongue oedema and negative pressure pulmonary oedema. This report highlights the difficulties in treating airway problems in young individuals with anatomical anomalies and comorbidities. Tongue oedema and other postoperative airway problems are more likely to occur in these patients. To ensure patient safety and the best possible outcomes, the case emphasizes the need for careful perioperative planning, awareness of potential complications, and tailored therapies.