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Paediatric Difficult Airway Tongue Mass — FRCA Final MCQ

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HardPaediatric AnaesthesiaPaediatric Difficult Airway Tongue MassFRCA Final

3-year-old (15 kg) with large tongue haemangioma needs debulking. Most appropriate induction?

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Correct answer: C — Gas induction with sevoflurane maintaining spontaneous ventilation

Predicted paediatric difficult airway (tongue mass): gas induction with sevoflurane maintaining spontaneous ventilation. Preserves breathing; allows gradual assessment. If VL manageable, intubate. If not, allow child to wake. Muscle relaxants remove the safety net.

Reference: APA – 2023 – Management of difficult paediatric airway