Intubation of infants with Pierre Robin syndrome: the use of the paraglossal approach combined with a gum-elastic bougie in six consecutive cases

Anaesthesia
F SemjenA-M Cros

Abstract

Infants with Pierre Robin syndrome are known to be difficult to intubate. We evaluated the paraglossal approach combined with a gum elastic bougie for intubation of these infants. Whilst under general anaesthesia, a conventional laryngoscopy was performed; if it failed to obtain a laryngoscopic grade I or II view, intubation was attempted using a paraglossal approach and a gum elastic bougie. Six consecutive infants were studied. Conventional laryngoscopy failed in all infants whilst the paraglossal approach combined with a gum elastic bougie was successful in five of the cases. The paraglossal approach combined with a gum elastic bougie made intubation easy in most children with severe Pierre Robin syndrome and difficult laryngoscopy. Therefore we recommend this as the first line for airway management in such children. However, a fibreoptic bronchoscope and an anaesthetist trained in fibreoptic intubation must still be present when dealing with severe Pierre Robin syndrome infants.

References

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Citations

Dec 12, 2012·Journal of Anaesthesiology, Clinical Pharmacology·Shirley DsouzaSidhesh Bharne
Mar 5, 2014·Pediatric Emergency Care·Jannet J Lee-Jayaram, Loren G Yamamoto
Feb 2, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·A LafrikhK Nouette-Gaulain
Jul 22, 2014·Anesthesia and Analgesia·Franklyn CladisJoseph E Losee
Apr 12, 2011·Current Opinion in Anaesthesiology·David de Beer, Robert Bingham
Apr 26, 2016·Anesthesiology and Pain Medicine·Ozkan OnalJale Bengi Celik
Jul 12, 2011·International Journal of Pediatric Otorhinolaryngology·Kolin KnappPaul Digoy
Jul 4, 2009·Paediatric Anaesthesia·Jane S DohertyChristopher D Gildersleve
Aug 14, 2008·Anaesthesia·D H Morfey
Dec 18, 2008·Anaesthesia·M J EdwardsP Cumpston
Mar 31, 2012·The Laryngoscope·Alexander P MarstonJames D Sidman
Nov 30, 2012·Paediatric Anaesthesia·Ahmed Abdelaal Ahmed MahmoudAhmed Mostafa Kamal
Apr 27, 2011·Paediatric Anaesthesia·Fu Shan XueQiang Wang
Oct 27, 2015·BioMed Research International·Nobuyasu KomasawaToshiaki Minami
Dec 16, 2016·Anesthesia Progress·Masanori TsukamotoTakeshi Yokoyama
Mar 8, 2011·Anaesthesia and Intensive Care·P A BakerUNKNOWN Australian and New Zealand College of Anaesthetists

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