Abstract
Airway management in infants can become more challenging in the presence of congenital anomalies such as hydrocephalus. In this case, we present the extreme airway challenges faced during the intubation of a 7-month-old child with massive hydrocephalus presenting for ventriculoperitoneal (VP) shunt surgery. The C-MAC video laryngoscope (VL) turned out to be the ultimate saviour after the failure of direct laryngoscopy and Airtraq. Paediatric airway management can sometimes be a nightmare for the anaesthesiologist in such scenarios. Early use of rescue devices such as the C-MAC VL can help tide over the crisis.
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