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Year : 2020  |  Volume : 3  |  Issue : 3  |  Page : 148-150

Neonatal Pierre Robin sequence: An airway challenge addressed with retrograde intubation

1 Department of Anesthesia and Perioperative Medicine, University of Western Ontario, London, ON, Canada
2 Department of Anaesthesia, Rainbow Children's Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Niveditha Karuppiah
Department of Anesthesia and Pain Medicine, Victoria Hospital, C2-166, 800 Commissioners' Road East, London, ON N6A 5W9
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/arwy.arwy_49_20

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We report the case of a 25-day-old neonate posted for glossopexy. The child born at 35 weeks of gestation was diagnosed to have Pierre Robin sequence. The neonate was underweight (2.2 kg), had difficulty in feeding and had respiratory distress needing respiratory assistance and prone position to maintain saturation. Anticipating difficulty in intubation with respect to physiology, age and mismatch of equipment size, we planned retrograde intubation through a laryngeal mask airway with a 2.5 mm ID tube using a needle cricotracheotomy and a flexible-tipped paediatric urological guidewire. Based on our experience, we propose that neonatal difficult airway can be managed using the retrograde intubation technique.

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