The use of laryngeal mask airway for surgical tracheotomy in a neonate with Pierre Robin syndrome: a case report
- 93 Downloads
I would like to present the case of an 18-day-old girl, weighing 3.9 kg, with Pierre Robin Syndrome (PRS) presented for tracheotomy due to respiratory failure associated with upper airway obstruction and pneumonia. She had a history of snoring and upper airway obstruction. Physical findings included micrognathia and glossoptosis associated with cleft palate. Echocardiography revealed left ventricular hypertrophy, though other routine investigations were normal. The patient was monitored in the intensive care unit with noninvasive mechanical ventilation, but with increasing respiratory insufficiency and the onset of pneumonia tracheotomy was planned with the aim of establishing a permanent airway to support mechanical ventilation.
KeywordsSevoflurane Airway Obstruction Paediatric Intensive Care Unit Airway Management Laryngeal Mask Airway
- 1.Tomaski SM, Howard GH, Aaal HM (1995) Airway obstruction in the Pierre Robin sequence. Laryngoscope 105:111–114Google Scholar
- 2.Brain AIJ (1984) The laryngeal mask airway: a possible new resolution to airway problems in the emergency situation. Arch Emerg Med 1:229–232Google Scholar
- 3.Brain AIJ (1998) Historical aspects and future directions. In: Ferson DZ, Brimacombe JR, Brain AIJ (eds) International airway clinics: the laryngeal mask airway. Lippincott–Williams and Wilkins Co., New York, 36(2):1–18Google Scholar
- 4.Gründling M, Kuhn SO, Riedel T et al (1998) Application of the laryngeal mask for elective percutaneous dilatation tracheotomy. Anaesthesiol Reanim 23(2):32Google Scholar