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Home management of upper airway obstruction in Pierre Robin sequence using a nasopharyngeal airway

K D Anderson1, A Cole, C B Chuo

  • 1Birmingham Children's Hospital. KDAnderson@doctors.org.uk

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|May 5, 2007
PubMed

Insights

Home management of infants with Pierre Robin Sequence (PRS) using nasopharyngeal airways and nasogastric feeding tubes significantly reduced hospital stays. This approach proved safe and effective, allowing infants to thrive outside the hospital.

Area of Science:

  • Pediatric Surgery
  • Neonatology
  • Craniofacial Anomalies

Background:

  • Pierre Robin Sequence (PRS) often involves upper airway obstruction and feeding difficulties.
  • Traditional management involves prolonged hospitalization, averaging 60 days.
  • This led to a review of management protocols to explore home-based care.

Purpose of the Study:

  • To evaluate the effectiveness and safety of home-based management for infants with PRS.
  • To determine if home care reduces in-patient hospital stays.
  • To assess the impact on infant growth and complication rates.

Main Methods:

  • Retrospective review of 13 infants with PRS over 3.5 years.
  • 12 infants received training for home management of nasopharyngeal airways and nasogastric feeding tubes.
  • Comparison with previous in-unit management data.

Main Results:

  • Median hospital stay reduced to 19.5 days from a previous 54 days.
  • Median weight gain was 34 g/day.
  • No complications or readmissions were reported.

Conclusions:

  • Revised management protocols enabling home care for PRS infants are effective.
  • Home-based care significantly reduces in-patient stays.
  • The approach is safe, with infants thriving and a low complication rate.
Abstract

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