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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...

Keywords

Sevoflurane Airway Obstruction Paediatric Intensive Care Unit Airway Management Laryngeal Mask Airway 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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    Tomaski SM, Howard GH, Aaal HM (1995) Airway obstruction in the Pierre Robin sequence. Laryngoscope 105:111–114Google Scholar
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    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
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    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
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    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

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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