Marmo Lupano José P, Medina María S, Bosch Juan J, Negrin Leticia, Artero Guillermo, Goldschmidt Ernesto, José Carolina, Díaz Sandra B, Bernatzky Agustín, Berazategui Juan P
Unidad de Neonatología, Sanatorio Anchorena San Martín, Buenos Aires, Argentina.
Endoscopía Respiratoria y Neumología Infantil, Sanatorio Anchorena San Martín, Buenos Aires, Argentina.
Arch Argent Pediatr. 2021 Feb;119(1):e45-e48. doi: 10.5546/aap.2021.e45.
If newborns have an airway obstruction, they require urgent and expert management to avoid mortality and morbidity. The definition of difficult airway includes problems in endotracheal intubation or positive pressure ventilation with bag and mask or T-piece resuscitator. Management should be based on an understanding of the pathophysiological mechanism responsible for difficult airway. The causes of difficult airway in the newborn can be congenital or acquired. We present the case of a newborn with Treacher-Collins syndrome Type 1 [OMIM # 154500] with a mandibulofacial dysostosis, micrognathia, malar hypoplasia, cleft palate, without congenital heart disease, associated with extremely difficult intubation.
如果新生儿出现气道阻塞，他们需要紧急且专业的处理以避免死亡和发病。困难气道的定义包括气管插管困难或使用面罩气囊或T组合复苏器进行正压通气困难。处理应基于对导致困难气道的病理生理机制的理解。新生儿困难气道的原因可以是先天性的或后天获得性的。我们报告一例1型特雷彻-柯林斯综合征[OMIM # 154500]新生儿病例，该患儿患有下颌面骨发育不全、小颌畸形、颧骨发育不全、腭裂，无先天性心脏病，伴有极困难的插管情况。
