Irish Journal of Medical Science

, Volume 180, Issue 1, pp 297–298 | Cite as

The use of laryngeal mask airway for surgical tracheotomy in a neonate with Pierre Robin syndrome: a case report

  • S. GezeEmail author
  • B. Cekic
  • H. Ulusoy
  • E. Erturk
Letter to the Editor

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.

She was administered iv 0.01 mg/kg atropine for premedication. Pulse oximetry, noninvasive blood pressure, electrocardiogram and capnography were monitored in the operating room. After obtaining venous access, anaesthesia was induced with increasing doses of...


Sevoflurane Airway Obstruction Paediatric Intensive Care Unit Airway Management Laryngeal Mask Airway 
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Copyright information

© Royal Academy of Medicine in Ireland 2010

Authors and Affiliations

  1. 1.Department of Anesthesiology and Critical Care, Faculty of Medicine, Farabi HospitalKaradeniz Technical UniversityTrabzonTurkey

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