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Aim: To report and discuss a novel way of managing the airway in a difficult case of anterior tracheal wall disruption caused by blunt trauma to the neck. Background: Tracheal injury resulting in laceration of the windpipe may present with either one or many of the multitude of problems such as respiratory distress, hoarseness of voice and subcutaneous emphysema. Most often it requires surgical intervention. Case Description: We hereby present the novel use of a mini-tracheostomy kit as an aid in the cannot-intubate-cannot-ventilate situation of a 30-year-old patient presenting with severe features of blunt tracheal injury. The airway was established critically with the use of the mini-tracheostomy kit in a “cannot-intubate-cannot-ventilate” situation during surgical tracheostomy and a potentially disastrous cardiorespiratory arrest situation was averted. Conclusion: Timely presence of airway equipment, adequate preparation, a willingness to innovate and a team approach are of paramount importance in dealing with difficult airway situations that are presented in myriad and complex ways. Clinical Significance: The stylet of mini-tracheostomy kit can be used in emergent airway management especially in clinical situations mimicking ours specifically as a guide for insertion of the standard tracheostomy tube.

Neonatal babies have specic physiological and pharmacological considerations regarding anesthesia. Newborns from 0 to 28 days are more likely to suffer from adverse cardiopulmonary conditions during the perioperative period. This paper presents the case of a zero-day baby with multiple Congenital Cardiac anomalies like Taussig-Bing Anomaly (DORV, VSD, PDA), Levocardia, TGA, and distal Tracheoesophageal Fistula (TEF) for emergency surgical repair. It addresses the anesthetic challenges like awake intubation for securing the complex airway and maintaining an adequate ventilation-perfusion ratio.

The inherited disease of unilateral anotia and ipsilateral Bell's palsy is exceedingly uncommon, but it has a few other clinical manifestations. The prevalence of anotia in combination with congenital Bell's palsy is well-known by Berry-Treacher Collins and Goldenhar syndrome. Despite the prevalence of anotia in combination with Bell's palsy, there have been relatively very few case reports about the corresponding conditions in India. The aim of the paper is to discuss the anesthesia plan for a seven-year-old boy who underwent surgery for tongue-tie release.