Balasubramaniam Gayathri, Vichili Mohan Subashini, Ramamurthy Balaji
Anaesthesiology, SRM Institute of Science and Technology, Chengalpattu, IND.
Cureus. 2024 Aug 4;16(8):e66106. doi: 10.7759/cureus.66106. eCollection 2024 Aug.
Pierre Robin sequence (PRS) presents significant challenges in airway management and postoperative care, especially in infants undergoing cleft palate repair. The most critical task for paediatric anaesthetists is securing the airway. The presence of aero-digestive disorders makes postoperative care equally challenging, which is often underemphasised. This report describes the management of a 17-month-old male child with PRS and a partial cleft palate who aspirated postoperatively following palatoplasty. Prompt intervention with nebulised bronchodilators, oxygen therapy, and intravenous antibiotics led to significant clinical improvement. The case underscores the necessity of developing standardised guidelines for managing children post-surgery.
皮埃尔·罗宾序列征（PRS）在气道管理和术后护理方面带来了重大挑战，尤其是在接受腭裂修复术的婴儿中。儿科麻醉医生最关键的任务是确保气道安全。气消化道疾病的存在使得术后护理同样具有挑战性，而这一点常常被忽视。本报告描述了一名17个月大患有PRS和部分腭裂的男童在腭裂修复术后发生误吸的处理情况。及时使用雾化支气管扩张剂、氧疗和静脉注射抗生素进行干预，使临床症状得到了显著改善。该病例强调了制定儿童术后管理标准化指南的必要性。
