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Nasogastric intubation for nutrition and airway protection in infants with Robin sequence

D C Prodoehl1, K E Shattuck

  • 1Department of Pediatrics, University of Texas Medical Branch, Galveston 77555-0526, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|September 1, 1995
PubMed

Insights

Nasogastric tubes can successfully manage airway obstruction and feeding issues in infants with Robin sequence. This outpatient approach offers a less invasive alternative to surgery for these complex cases.

Area of Science:

  • Pediatrics
  • Neonatology
  • Otolaryngology

Background:

  • Robin sequence presents significant challenges including airway obstruction and feeding difficulties.
  • Management often involves invasive therapies, potentially including surgery.
  • Current strategies may not always resolve these complex issues.

Observation:

  • Two infants with Robin sequence experienced airway obstruction and feeding difficulties.
  • These infants were successfully managed as outpatients.
  • Treatment involved the placement of a nasogastric tube.

Findings:

  • Nasogastric tube placement effectively maintained airway patency.
  • The nasogastric tube also supplemented oral feeding.
  • This intervention provided a successful non-surgical management solution.

Implications:

  • Indwelling nasogastric tubes are a viable consideration for Robin sequence management.
  • This approach should be explored before resorting to invasive surgical procedures.
  • Outpatient nasogastric tube management offers a less invasive therapeutic option.

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