| Percutaneous Dilational Tracheotomy for Airway Management in a Newborn With Pierre-Robin Syndrome and a Glossopharyngeal Web. | |
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MedLine Citation:
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PMID: 22005668 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Pierre-Robin syndrome (PRS) is often associated with difficulty in endotracheal intubation. We present the use of percutaneous dilational tracheotomy (PDT) for airway management of a newborn with PRS and a glossopharyngeal web. A 2-day- old term newborn with PRS and severe obstructive dyspnea was evaluated by the anesthesiology team for airway management. A direct laryngoscopy revealed a glossopharyngeal web extending from base of the tongue to the posterior pharyngeal wall. The baby was spontaneously breathing through a 2 mm diameter fistula in the center of this web. It was decided that endotracheal intubation is impossible and a PDT was planned. The trachea of the newborn was cannulated, using a 20 gauge peripheral venous catheter and a 0.028 inch guide wire was introduced through this catheter. Using 5 F, 7 F, 9 F, and 11 F central venous catheter kit dilators, staged tracheotomy stoma dilation was performed. By inserting a size 3.0 tracheotomy cannula, PDT was successfully completed in this newborn. This case describes the successful use of PDT for emergent airway management of a new born with PRS and glossopharyngeal web. |
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Authors:
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Arash Pirat; Selim Candan; Aytekin Unlükaplan; Ozgür Kömürcü; Selim Kuslu; Gülnaz Arslan |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-13 |
Journal Detail:
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Title: Respiratory care Volume: - ISSN: 0020-1324 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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