Ultrasound-Guided Anesthetic Management for a Popliteal Pterygium Correction in a Child with Caudal Regression Syndrome: A Case Report

Abstract Popliteal pterygium syndrome (PPS) is a rare dominant inheritance. There are no reports in the literature of children with PPS associated with caudal regression syndrome. This case report represents a plan of action for perioperative anesthetic management of a popliteal pterygium correction surgery in a 3-year-old child. The patient was operated on under general anesthesia with endotracheal intubation facing challenges of a difficult airway. Central venous access catheterization and invasive blood pressure were required for hemodynamic management. There were challenges for postoperative analgesia requiring the use of ultrasound to guide the decision. The surgery was uneventful with the patient extubated in the operating room and transferred to the intensive care unit.