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Pierre Robin Syndrome (pierre + robin_syndrome)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Retrograde nasal intubation technique in Pierre Robin Syndrome: a suggestion

PEDIATRIC ANESTHESIA, Issue 3 2010
Rajeev Sharma
No abstract is available for this article. [source]

A novel method of intubation in two children with Pierre Robin Syndrome

PEDIATRIC ANESTHESIA, Issue 1 2007
Jayashree Sood MD FFARCS PGDHHM
No abstract is available for this article. [source]

Acute airway obstruction in an infant with Pierre Robin syndrome after palatoplasty

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 6 2004
C. Dell'Oste
This report describes a complication of post-operative oedema of the palate, tongue and pharynx after a Perko-revised cleft palate repair, which resulted in a life-threatening airway obstruction in an infant with Pierre Robin syndrome. Although infants experiencing airway problems after Wardill,Kilner, von Langenbeck and Furlow palatoplasty have been described, airway complications in a group of Perko-revised repair children have not been previously reported. We speculate that this complication, which occurred in the absence of a history of previous airway problems, is due to prolonged operating time and excessive pressure exerted on the base of the tongue by the Kilner,Doughty retractor. Acknowledgments of this risk permits to identify those patients prior to surgery so that they can be managed appropriately. [source]

Severe upper airway obstruction in the tropics requiring intensive care

PEDIATRICS INTERNATIONAL, Issue 1 2001
Pwk Chan
Background: The clinical profile of severe upper airway obstruction, a challenging acute pediatric emergency, has not been extensively documented in the developing nations of the tropics. Methods: The diagnostic categories, severity of illness and outcome from 63 episodes of severe upper airway obstruction in 56 children admitted to the Pediatric Intensive Care Unit between January 1994 and December 1999 were reviewed. Outcome variables studied included requirement for ventilation, mortality and complications. Severity of illness was determined with the Pediatric Risk of Mortality (PRISM) II score. Results: Viral croup (29%) was the most common diagnosis, followed by mediastinal malignancy (13%), bacterial tracheitis (11%) and Pierre Robin syndrome (11%). There were no admissions for acute epiglottitis. Thirty episodes (48%) required ventilation for a median duration of 4.0 days. Bacterial tracheitis (100%) and subglottic stenosis (100%) were the most likely diagnoses requiring ventilation. Difficulty in intubation was encountered in 13 episodes (43%) involving, in particular, patients with bacterial tracheitis (83%; P=0.006). Only two patients required a tracheostomy. The overall mortality was 11%. The PRISM score for all categories was generally low (mean 10.3~1.0; median 9.0). Non-survivors had a significantly higher PRISM II score than survivors (27.4~9.7 vs 8.1~4.9, respectively; P=0.002) and were more likely to include children with bacterial tracheitis and mediastinal malignancy. Conclusions: There is marked heterogeneity in the causes of upper airway obstruction in the tropics with viral croup remaining the most common. A significant proportion required ventilation, but outcome is generally favorable, except in those with bacterial tracheitis and mediastinal malignancy. [source]