Related Experiment Video

Updated: Jun 21, 2026

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
03:58

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

Published on: August 2, 2024

Gastroesophageal reflux in severe cases of Robin sequence treated with nasopharyngeal intubation

Ilza Lazarini Marques1, Luiz Carlos Silveira Monteiro, Luiz de Souza

  • 1Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, Bauru, Brazil. marquesi@usp.br

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|August 1, 2009
PubMed

Insights

Infants with Robin sequence experience higher rates of abnormal gastroesophageal reflux. Nonsurgical treatments effectively improved breathing and feeding issues in most infants, indicating a positive treatment outcome.

Area of Science:

  • Pediatric Gastroenterology
  • Craniofacial Anomalies
  • Neonatal Care

Background:

  • Robin sequence often presents with severe respiratory obstruction, necessitating interventions like nasopharyngeal intubation.
  • Gastroesophageal reflux is a potential complication in infants, particularly those with craniofacial abnormalities.
  • Understanding reflux prevalence is crucial for managing infants with Robin sequence.

Purpose of the Study:

  • To determine the prevalence of abnormal gastroesophageal reflux in infants with severe Robin sequence.
  • To assess the effectiveness of nonsurgical interventions for respiratory and feeding difficulties in these infants.

Main Methods:

  • A longitudinal prospective study involving 20 infants with severe isolated Robin sequence.
  • 24-hour esophageal pH monitoring was conducted at 2, 4, and 6 months of age.
  • Respiratory and feeding statuses were evaluated alongside reflux index measurements.

Main Results:

  • The initial prevalence of abnormal gastroesophageal reflux (reflux index > 95th percentile) was significantly higher (6/20) compared to normal infants (p < .01).
  • Reflux index values decreased in subsequent evaluations.
  • Ninety percent of infants demonstrated improved respiratory function and achieved oral feeding capacity.

Conclusions:

  • Infants with severe Robin sequence exhibit a higher prevalence of abnormal gastroesophageal reflux.
  • Nonsurgical management strategies were effective in ameliorating respiratory and feeding challenges for the majority of these infants.
Abstract

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

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
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 Intubation I: Procedure01:15

Endotracheal 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...
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal 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...
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.