From the Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.
A A Pract. 2020 Sep;14(11):e01302. doi: 10.1213/XAA.0000000000001302.
Patients with Pierre Robin sequence present with numerous anatomical abnormalities that make mask ventilation and tracheal intubation challenging. In this case series, we describe a unique way to overcome upper airway obstruction with the placement of a supraglottic airway in 4 children with Pierre Robin sequence followed by flexible bronchoscopic nasotracheal intubation. This new approach is proven to be a successful method to overcome severe upper airway obstruction, provide continuous oxygenation, and allows nasotracheal intubation for intraoral procedures.
患有 Pierre Robin 序列征的患者存在许多解剖结构异常，这使得面罩通气和气管插管具有挑战性。在本病例系列中，我们描述了一种独特的方法，即在 4 例 Pierre Robin 序列征患儿中放置声门上气道来克服上呼吸道阻塞，然后进行软性支气管经鼻插管。这种新方法已被证明是克服严重上呼吸道阻塞、提供持续氧合以及为口腔内手术进行经鼻插管的有效方法。
