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Near-Fatal Aspiration in a Child With Pierre Robin Sequence and Aero-Digestive Disorder: A Case Report

Gayathri Balasubramaniam1, Subashini Vichili Mohan1, Balaji Ramamurthy1

  • 1Anaesthesiology, SRM Institute of Science and Technology, Chengalpattu, IND.

Cureus
|September 4, 2024
PubMed

Insights

This case report highlights the critical need for standardized postoperative care guidelines in infants with Pierre Robin sequence (PRS) following cleft palate repair, emphasizing prompt intervention for aspiration events.

Area of Science:

  • Pediatric Anesthesiology
  • Craniofacial Surgery
  • Respiratory Care

Background:

  • Pierre Robin sequence (PRS) poses significant airway management challenges in infants.
  • Cleft palate repair in PRS patients requires specialized anesthetic and surgical considerations.
  • Postoperative aero-digestive complications are common but often underemphasized.

Observation:

  • A 17-month-old male with PRS and partial cleft palate underwent palatoplasty.
  • The patient experienced a postoperative aspiration event.
  • Management involved nebulized bronchodilators, oxygen, and IV antibiotics.

Findings:

  • Prompt medical intervention led to significant clinical improvement in the aspirated patient.
  • The case demonstrates the potential severity of postoperative respiratory compromise in PRS patients.
  • Effective management relies on swift recognition and treatment of aspiration.

Implications:

  • Highlights the need for standardized postoperative care protocols for PRS patients.
  • Emphasizes the importance of vigilant monitoring for respiratory complications post-palatoplasty.
  • Underscores the necessity for multidisciplinary collaboration in managing PRS patients.

Keywords:
aerodigestive disordersdifficult airwayeras protocolpalatoplastypostoperative pulmonary complications

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