Anaesthetic Challenges in Children with Pierre-Robin Sequence: A Case Series
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Abstract
Pierre Robin sequence is associated with a triad of micrognathia, glossoptosis and airway obstruction. Securing the airway is of utmost importance in these patients. Use of vagolytic premedication, nebulisation with lignocaine to obtund airway reflexes, use of other airway devices (SGA) and equipment to assist in different airway scenarios helps in anaesthetising the patients.
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[2] Bissonnette B, Luginbueh I, Marciniak B, Dalens BJ. Rapid recognition and Perioperative Implication; Pierre Robin Syndrome; McGraw-Hill Education, 2006.
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[4] Pedsanesthesia.org/meetings/2010winter/syllabus/ pdfs/pblds/Table.pdf
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[6] Prasad Y. The Difficult Paediatric Airway. ATOTW 250 – www.totw.anaesthesiologist.org, 13/02/2012: Page 1 of 13.
[7] Henderson JJ. The use of paraglossal straight blade laryngoscopy in difficult tracheal intubation. Anaesthesia. 1997; 52:552–60.
[8] Omiya K, Matsukawa T. Anesthetic management of an infant with Pierre Robin sequence undergoing tracheostomy using an i-gel™. JA Clin Rep. 2019; 5: 11.
[9] Templeton TW, Bryan YE. A two-stage approach to induction and intubation of two infants with Pierre Robin sequence using an LMA Classic™ and Air-Q®: two cases report. Korean J Anesthesiol. 2016; 69(4):390–4.
[10] Cladis F, Kumar A, Grunwaldt L, Otteson T, Ford M, Losee JE. Pierre Robin Sequence: a perioperative review. Anesth Analg. 2014; 119(2):400-412.
[2] Bissonnette B, Luginbueh I, Marciniak B, Dalens BJ. Rapid recognition and Perioperative Implication; Pierre Robin Syndrome; McGraw-Hill Education, 2006.
[3] Pittaway AJ, Naumann HL. General Anesthesia for an Infant with Pyloric Stenosis & Pierre Robin Sequence. MedEdPORTAL. 2012; 8:9162
[4] Pedsanesthesia.org/meetings/2010winter/syllabus/ pdfs/pblds/Table.pdf
[5] Brown KA, Laferrière A, Moss IR. Recurrent hypoxemia in young children with obstructive sleep apnea is associated with the reduced opioid requirement for analgesia. Anesthesiology. 2004; 100:806–10.
[6] Prasad Y. The Difficult Paediatric Airway. ATOTW 250 – www.totw.anaesthesiologist.org, 13/02/2012: Page 1 of 13.
[7] Henderson JJ. The use of paraglossal straight blade laryngoscopy in difficult tracheal intubation. Anaesthesia. 1997; 52:552–60.
[8] Omiya K, Matsukawa T. Anesthetic management of an infant with Pierre Robin sequence undergoing tracheostomy using an i-gel™. JA Clin Rep. 2019; 5: 11.
[9] Templeton TW, Bryan YE. A two-stage approach to induction and intubation of two infants with Pierre Robin sequence using an LMA Classic™ and Air-Q®: two cases report. Korean J Anesthesiol. 2016; 69(4):390–4.
[10] Cladis F, Kumar A, Grunwaldt L, Otteson T, Ford M, Losee JE. Pierre Robin Sequence: a perioperative review. Anesth Analg. 2014; 119(2):400-412.
| Files | ||
| Issue | Vol 8 No 3 (2022): Summer |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v8i3.9621 | |
| Keywords | ||
| Pierre Robin sequence Difficult ventilation Difficult intubation Supraglottic airway device | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Ramachandran H, Bhagya D. Anaesthetic Challenges in Children with Pierre-Robin Sequence: A Case Series. Arch Anesth & Crit Care. 2022;8(3):257-259.
