[Anesthetic management for bronchofiberscopy and esophageal mannometric study in a patient with CHARGE association]

Bronchofiberscopy and esophageal mannometric study were scheduled for a CHARGE association patient who complained respiratory distress and dysphagea after PDA ligation. We carried out both tracheal intubation and LMA insertion twice. LMA insertion was performed smoothly, but mask holding and tracheal intubation were very difficult. CHARGE association is a rare multiple anomaly, and presents some problems for anesthetic management. Especially, we have to consider the difficult airway management in such a patient.