Publication: Respiratory Failure in a Neonate with Pierre Robin Syndrome -A Challenging Proposition
Date
2017
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Pierre Robin Syndrome is a well-known difficult airway condition. We present a case
of successful management of a neonate in severe respiratory distress with diagnosed
Pierre Robin syndrome, pneumonitis and in impending respiratory failure. We wish
to highlight a sequence of measures instituted for the child including use of a
supraglottic device Igel for immediate airway rescue when intubation was nearly
impossible and mask ventilation very difficult. We sutured patient’s tongue with his
lip near the chin to keep the upper airway patent as an intermediate intervention
and we could subsequently successfully treat the concomitant lung infection. Child
could be discharged from hospital alive and healthy.
KEY WORDS
Airway, igel, neonate
Description
Sahay N, Bhadani UK, Sharma S
Department of Anesthesiology
AIIMS, Patna, India
Keywords
Airway, igel, neonate