Document Detail

Successful management of a neonate with Pierre-Robin syndrome and severe upper airway obstruction by long term placement of a laryngeal mask airway.
MedLine Citation:
PMID:  15081188     Owner:  NLM     Status:  MEDLINE    
The severity of airway obstruction varies in infants with Pierre-Robin syndrome (PRS). Some have severe upper airway obstruction that results in respiratory failure and even death. We report a case of neonate with isolated PRS who had a severe airway obstruction and respiratory failure after birth. She had complications of bilateral pneumothorax, subcutaneous emphysema, and hypoxaemia due to difficult tracheal intubation. Respiratory failure recurred immediately after extubation; she was resuscitated by inserting a laryngeal mask airway. The laryngeal mask airway was left inserted for 6 days. It was successful in this patient and eliminated the need for invasive surgical procedures. In conclusion, the relatively long term use of a laryngeal mask airway, which has not been reported before, could be an alternative therapy for patients with PRS with airway obstruction.
Chih-Ta Yao; Jieh-Neng Wang; Ying-Tai Tai; Tung-Ying Tsai; Jing-Ming Wu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  61     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-14     Completed Date:  2004-08-11     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  97-9     Citation Subset:  IM    
Department of Pediatrics and Anesthesiology, College of Medicine, National Cheng Kung University Hospital, Tainan 704, Taiwan.
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MeSH Terms
Airway Obstruction / etiology*,  therapy*
Infant, Newborn
Laryngeal Masks*
Pierre Robin Syndrome / complications*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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