Reda El Bayoumy, Edeline Coinde, Marion Nimal
Difficult endotracheal (ET) intubation in neonates is not a rare situation with diverse etiologies. It is technically challenging to rescue a neonate immediately after birth, especially in an isolated island with limited neonatal facilities, resources and expertise. Neonatal morbidity and mortality are significantly high in difficult endotracheal intubation scenarios. A late preterm neonate was born flaccid and apneic. Upper airway obstruction by a bulky supraglottic cystic mass with possible subglottic obstruction was primarily predicted. The neonate was successfully ET intubated and transferred to the tertiary neonatal unit for definitive surgical management.