Document Detail

Intubation of infants with Pierre Robin syndrome: the use of the paraglossal approach combined with a gum-elastic bougie in six consecutive cases.
MedLine Citation:
PMID:  18211445     Owner:  NLM     Status:  MEDLINE    
Infants with Pierre Robin syndrome are known to be difficult to intubate. We evaluated the paraglossal approach combined with a gum elastic bougie for intubation of these infants. Whilst under general anaesthesia, a conventional laryngoscopy was performed; if it failed to obtain a laryngoscopic grade I or II view, intubation was attempted using a paraglossal approach and a gum elastic bougie. Six consecutive infants were studied. Conventional laryngoscopy failed in all infants whilst the paraglossal approach combined with a gum elastic bougie was successful in five of the cases. The paraglossal approach combined with a gum elastic bougie made intubation easy in most children with severe Pierre Robin syndrome and difficult laryngoscopy. Therefore we recommend this as the first line for airway management in such children. However, a fibreoptic bronchoscope and an anaesthetist trained in fibreoptic intubation must still be present when dealing with severe Pierre Robin syndrome infants.
F Semjen; M Bordes; A-M Cros
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  63     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-23     Completed Date:  2008-02-07     Revised Date:  2009-01-16    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  147-50     Citation Subset:  AIM; IM    
Pediatric Anesthesia Department, Bordeaux University Hospital, Bordeaux, France.
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MeSH Terms
Airway Obstruction / etiology,  therapy
Anesthesia, General / methods
Infant, Newborn
Intubation, Intratracheal / adverse effects,  instrumentation,  methods*
Pierre Robin Syndrome / complications*
Treatment Failure
Comment In:
Anaesthesia. 2008 Aug;63(8):890-1   [PMID:  18699911 ]
Anaesthesia. 2009 Jan;64(1):95   [PMID:  19087016 ]

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