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Zhonghua Yi Xue Za Zhi. 2012 Apr 3;92(13):886-8.

[Assessment and management of difficult airways in neonates with Pierre Robin sequence].

[Article in Chinese]

Author information

  • 1Department of Anesthesiology, Affiliated Nanjing Children's Hospital, Nanjing Medical University, Nanjing 210008, China. shixiaohua8203@126.com

Abstract

OBJECTIVE:

To assess the difficult airways preoperatively in neonates with Pierre Robin sequence (PRS).

METHODS:

A total of 18 newborn PRS with difficult intubation were evaluated with the assessment grade. The scores were based upon clinical observation, weight gain, airway obstruction and Cormack-Lehane classification.

RESULTS:

A total of 14 neonates (77%) had medium (n = 8) and severe (n = 6) airway obstruction. And 89% (n = 16) failed to display glottis and unsuccessful tracheal intubation (50%).

CONCLUSION:

The assessment practice of clinical observation, weight gain, airway obstruction and Cormack-Lehane classification may help to identify the difficult airways in neonates with PRS.

PMID:
22781528
[PubMed - indexed for MEDLINE]
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