Insertion of the Laryngeal Mask Airway in Awake Infants With the Robin Sequence

Markakis, Dorothea A.; Sayson, Samuel C.; Schreiner, Mark S.

doi:10.1213/00000539-199211000-00030

Cited by 65 publications

(23 citation statements)

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“…One should realize, however, that there are situations where the risk of going ahead with a difficult intubation is higher than changing tactics, and for example, continuing anaesthesia with a face mask. The risk of inserting a laryngeal mask airway in this scenario is not known and opinions are expressed in favour (12)(13)(14)(15)(16)(17) or against (18,19) its use. The laryngeal mask airway should not be used if the patient has a full stomach or when the operator does not have the appropriate experience.…”

Section: Difficult Intubation Anticipatedmentioning

confidence: 99%

Difficult intubation in paediatrics

Frei¹,

Ummenhofer²

1996

Pediatric Anesthesia

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Section: Difficult Intubation Anticipatedmentioning

confidence: 99%

Difficult intubation in paediatrics

Frei¹,

Ummenhofer²

1996

Pediatric Anesthesia

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“…Previous reports have shown the successful use of the LMA in children with severe micrognathia such as that associated with Treacher Collins syndrome and Pierre Robin syndrome [10,11]. Laryngeal Mask Airway use has been recommended by several authorities if the surgery is superficial and the procedures are uncomplicated [12,13].…”

Section: Discussionmentioning

confidence: 99%

Airway management in a patient with Goldenhar syndrome: a case report

Sukhupragarn

Rosenblatt

2008

Journal of Clinical Anesthesia

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“…B. bei Patienten mit Fehl bildungen der oberen Atemwege (Pier Abb. 8 8 Einlage eines Nabelvenenkatheters: a Hochhalten der Nabelschnur, Anlegen eines Nabelbandes um den häutigen Nabel (kann bei Blutung zugezogen werden); b Durchtrennen der Nabelschnur etwa 1 cm oberhalb des Hautnabels entlang einer angelegten Klemme; c Identifikation der dünnwan-digen Nabelvene (NV) und der beiden dickwandigeren, kontrahierten Nabelarterien (NA); d Einführen des Nabelvenenkatheters bis auf eine Tiefe von etwa 5 cm, damit die Katheterspitze nicht intrahepatisch zu liegen kommt (e) reRobinSequenz, [31]; TreacherCol linsSyndrom, [8]). Die Larynxmas ke wird nicht als primärer künstlicher Atemweg empfohlen und ist einem Endo trachealtubus unterlegen, wenn mekoni umhaltiges Fruchtwasser aus der Tra chea abgesogen werden muss (s. Abschn.…”

Section: Larynxmaskeunclassified

Reanimation des Neugeborenen

Berger

Pilgrim

2008

Anaesthesist

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Although almost 10% of all newborn infants need some form of respiratory assistance after birth, only 1% will require more advanced forms of resuscitation. Because these rare events cannot always be anticipated, pediatricians and neonatologists may not be readily available and resuscitation will have to be performed by anesthesiologists. In recent years, international guidelines for neonatal resuscitation have been revised by the International Liaison Committee on Resuscitation (ILCOR), the American Academy of Pediatrics (AAP) and the American Heart Association (AHA), as well as the European Resuscitation Council (ERC). The revised guidelines describe a simplified resuscitation algorithm which emphasizes the central role of respiratory support and an increase in heart rate is judged to be the best marker for successful ventilation. In deliveries complicated by meconium-stained amniotic fluid, intrapartum suctioning of the oropharynx is no longer recommended and endotracheal suctioning is restricted to severely depressed babies. The new guidelines mention the use of the laryngeal mask airway (LMA) and CO(2) detectors without, however, making firm recommendations. The use of 100% oxygen in neonatal resuscitation is increasingly being challenged. In the rare event of a newborn whose heart rate drops below 60 beats/min, more advanced resuscitation (chest compressions using the 2-thumb-encircling-hands technique, epinephrine 10-30 mug/kgBW i.v.) will be required. Finally, the guidelines mention the possible neuroprotective effect of therapeutic hypothermia after asphyxia, but finally only recommend that hyperthermia should be avoided.

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Insertion of the Laryngeal Mask Airway in Awake Infants With the Robin Sequence

Cited by 65 publications

References 0 publications

Difficult intubation in paediatrics

Difficult intubation in paediatrics

Airway management in a patient with Goldenhar syndrome: a case report

Reanimation des Neugeborenen

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