Related Experiment Video

Updated: Sep 23, 2026

Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)
04:56

Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)

Published on: July 14, 2023

Airway management in patients with isolated Pierre Robin sequence during the first year of life

Richard B Schaefer1, Arun K Gosain

  • 1Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. akgosain@mcw.edu

The Journal of Craniofacial Surgery
|July 18, 2003
PubMed

Insights

Managing Pierre Robin sequence airway obstruction in infants is challenging. Noninvasive methods like positioning or tongue-lip adhesion effectively treat over 80% of neonates with isolated Pierre Robin sequence.

Area of Science:

  • Pediatric Otolaryngology
  • Craniofacial Surgery
  • Neonatal Airway Management

Background:

  • Pierre Robin sequence presents significant diagnostic and therapeutic challenges, particularly regarding airway management.
  • A multidisciplinary team approach is crucial for comprehensive evaluation and management.
  • Identifying silent airway events during early life activities is vital for affected children.

Purpose of the Study:

  • To outline a treatment protocol for isolated Pierre Robin sequence.
  • To emphasize noninvasive diagnostic and therapeutic interventions.
  • To detail a specific approach for managing neonatal airway obstruction in Pierre Robin sequence patients.

Main Methods:

  • Comprehensive assessment to anatomically define airway obstruction sites.
  • Implementation of a treatment protocol focusing on initial noninvasive interventions.
  • Utilizing positioning or tongue-lip adhesion as primary therapeutic options.

Main Results:

  • Over 80% of examined neonates with isolated Pierre Robin sequence were effectively treated.
  • Successful management of airway obstruction was achieved with noninvasive methods.
  • More aggressive techniques were deemed unnecessary for the majority of patients.

Conclusions:

  • A structured, noninvasive protocol can effectively manage airway obstruction in most isolated Pierre Robin sequence cases.
  • Positioning and tongue-lip adhesion are highly effective initial treatments.
  • The outlined protocol provides a targeted approach to specific airway deficiencies.

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes: