Abstract
Pierre Robin Sequence (PRS) are characterized by airway interventions consist of glossopexy,
micrognathia, glossoptosis and cleft palate. mandibular distraction osteogenesis and
Posteriorly displaced tongue can result inincreased tracheotomy. Nonsurgical airway management
risk of aspiration pneumonia. Also, airway includes prone positioning and nasopharyngeal
management of patients with craniofacial airway. Anesthesiologists should have a lot of
deformities is challenging for anesthesiologists and _ attention for airway management in PRS patients.
requires special techniques. Airway management Also, optimal perioperative pain management is
for general anesthesia is challenging in PRS patients important and may improve clinical outcomes,
and of great importance, since respiratory because neonates feel more pain than their older
compromise carries a high risk of mortality. Face counterparts.” Fentanyl is almost 100 times more
mask ventilation can provide respiratory support. potent than morphine due to high lipid solubility. It
But, it is difficult to master and ensure appropriate may be preferred analgesic agent for critically ill
tidal volume delivery in infants.’ Especially, it may pediatric patients because it is associated with
be difficult to the PRS patients because of facial greater hemodynamic stability. Fentanyl can
asymmetry and micrognathia. prevent preterm neonates from surgical stress and
A female PRS patient (7 weeks age, height 47 cm, provide perioperative analgesia. In summary, face
weight 3 kg) was scheduled for percutaneous mask ventilation using inhalation anesthetics with
achilles tendon tenotomy. She was born at term and _ oro-/nasopharyngeal airway can be a good
had micrognathia, cleft palate and respiratory alternative anesthetic technique. However, extra
difficulty. She suffered from frequent vomiting and _ caution should be exercised in such situation
feeding difficulty. After installing the racternaarraraanes eR |
oropharyngeal airway, self-breathing was
maintained.
