Patel Shetal H, Banzali Franklin M, Post Rebecca J, Nguyen Carolyn V, Benoit Richard M, Tieu David D, Stranc Danielle S, Hernandez Conte Antonio, Rudikoff Andrew G
From the Departments of Anesthesiology.
Obstetrics.
A A Pract. 2018 Sep 15;11(6):151-154. doi: 10.1213/XAA.0000000000000765.
This case describes a parturient with Barnes syndrome, a rare disorder characterized by subglottic stenosis, thoracic dystrophy, and small pelvic inlet, who underwent cesarean delivery of a neonate diagnosed with Barnes syndrome. Live simulation training was performed by multidisciplinary team to prepare for the spinal anesthetic, personnel flow between 2 operating rooms, and management of various airway scenarios for the newborn. After delivery, the neonate underwent laryngoscopy-bronchoscopy with successful intubation in the operating room because of labored breathing. Airway evaluation revealed subglottic stenosis, tracheomalacia/bronchomalacia. Collaboration among perinatologists, obstetric/pediatric anesthesiologists, pediatric head and neck surgeons, and neonatologists was integral to perioperative management of both the mother and child.
本病例描述了一名患有巴恩斯综合征的产妇，这是一种罕见的疾病，其特征为声门下狭窄、胸廓发育不良和骨盆入口狭小，该产妇接受了剖宫产，产下一名被诊断为巴恩斯综合征的新生儿。多学科团队进行了现场模拟培训，以准备脊髓麻醉、两个手术室之间的人员流动以及新生儿各种气道情况的管理。分娩后，由于呼吸费力，新生儿在手术室接受了喉镜-支气管镜检查并成功插管。气道评估显示声门下狭窄、气管软化/支气管软化。围产期专家、产科/儿科麻醉医生、儿科头颈外科医生和新生儿科医生之间的协作对于母婴的围手术期管理至关重要。
