Related Experiment Video
Updated: Jun 21, 2026
11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Nasopharyngeal intubation in Robin sequence: technique and management
Cleide C S D Mondini1, Ilza L Marques, Cassiana M B Fontes
1Hospital de Reabilitação de Anomalias Caniofaciais, University de São Paulo, Bauru, Brazil. cmondini@hotmail.com
Summary
Nasopharyngeal intubation (NPI) provides a simple airway management technique for infants with Robin sequence. Parents can perform this procedure at home after training, ensuring continuous treatment.
Area of Science:
- Pediatric Airway Management
- Craniofacial Anomaly Treatment
- Neonatal Care
Background:
- Robin sequence presents significant airway obstruction challenges in infants.
- Effective airway management is critical for infant survival and development.
- Nasopharyngeal intubation (NPI) is a potential solution for managing airway obstruction.
Purpose of the Study:
- To detail the nasopharyngeal intubation (NPI) technique for treating airway obstruction in Robin sequence.
- To provide visual aids (photographs) to assist in performing NPI.
- To offer guidance for healthcare professionals and caregivers on NPI application.
Main Methods:
- Description and illustration of the NPI procedure.
- Identification of necessary equipment, including specific tube sizes (3.0 or 3.5 Portex silicone tube).
- Guidance on tube insertion depth (8 cm) and fixation methods (Micropore tape).
Main Results:
- The NPI procedure involves inserting a silicone tube into the infant's nostril.
- Routine hygiene (twice daily removal and cleaning) and regular tube changes (every 7 days) are essential.
- Training parents or caretakers on the NPI technique during hospitalization is effective.
Conclusions:
- Nasopharyngeal intubation (NPI) is a straightforward technique for managing airway obstruction in Robin sequence.
- The simplicity of the NPI technique allows for successful home-based treatment by parents or caregivers.
- NPI facilitates ongoing airway management, improving outcomes for infants with Robin sequence.
Related Concept Videos
01:17Endotracheal Intubation II: Nursing Management
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
01:30Cardiopulmonary 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...
01:15Endotracheal Intubation I: Procedure
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:22Cardiopulmonary 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...
01:16Tracheostomy 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:
Required Equipment
The equipment necessary for tracheostomy care includes: