Resuscitation. 2004 Apr;61(1):97-9.
Yao CT, Wang JN, Tai YT, Tsai TY, Wu JM. Department of Pediatrics and Anesthesiology, College of Medicine, National Cheng Kung University Hospital, Tainan 704, Taiwan.
The severity of airway obstruction varies in infants with Pierre-Robin syndrome (PRS). Some have severe upper airway obstruction that results in respiratory failure and even death.
We report a case of neonate with isolated PRS who had a severe airway obstruction and respiratory failure after birth.
She had complications of bilateral pneumothorax, subcutaneous emphysema, and hypoxaemia due to difficult tracheal intubation. Respiratory failure recurred immediately after extubation; she was resuscitated by inserting a laryngeal mask airway.
The laryngeal mask airway was left inserted for 6 days.
It was successful in this patient and eliminated the need for invasive surgical procedures. In conclusion, the relatively long term use of a laryngeal mask airway, which has not been reported before, could be an alternative therapy for patients with PRS with airway obstruction.
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