使用定制面罩对皮埃尔-罗宾序列进行临时管理。

National journal of maxillofacial surgery Pub Date : 2024-01-01 Epub Date: 2024-03-19 DOI:10.4103/njms.njms_99_23
Vishal Kulkarni, Kumar C Senthil, Mukti K Rath, Madhu Singh
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引用次数: 0

摘要

在喉镜检查和插管过程中,皮埃尔-罗宾序列给麻醉师带来了巨大挑战,使氧合和通气变得困难。为了改善气道状况和新生儿的整体存活率,建议尽早进行手术干预。当新生儿可能不适合进行此类手术干预时,情况就变得更具挑战性。本病例就给团队带来了这样的挑战。据作者所知,使用面罩作为临时救生措施的决定是首次考虑。这为进一步的行动方案提供了更多的机会,只是后来通过下颌骨牵张成骨术进行了处理。采用非常规的矫形器来处理受威胁的气道,可为临床医生提供进一步处理的时间。本文将对这一挽救生命的手术进行说明。
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Interim management of Pierre Robin sequence using a custom-made face mask.

Pierre Robin sequence poses a great challenge for anesthesiologists during laryngoscopy and intubation, making oxygenation and ventilation difficult. The role of early surgical intervention is recommended for the improvement of the airway and overall survival of the neonate. The situation becomes even more challenging, when the neonate may not be fit for such surgical interventions. The present case posed such a challenge to the team. To the authors' knowledge, the decision to use a face mask as an interim life-saving measure was considered for the first time. This provided a greater window of opportunity for further course of action, only to be later managed by distraction osteogenesis of the mandible. The unconventional use of orthopedic appliances for the management of threatened airways may provide the clinician with time, where further management may be carried out. The present article will explain such a procedure that was carried out as a life-saving measure.

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