No abstract

The care of infants with Robin sequence is discussed with special reference to upper airway obstruction and feeding difficulties. The use of nasopharyngeal tubes Is recommended initially to alleviate the immediate consequences of hypoxia. Modifications in feeding procedures are minor and involve enlarging the hole In the nipple and keeping the nipple and infant positioned appropriately.

Key Points Question How often and for how long do children and their caregivers miss school or work after critical care hospitalization for acute respiratory failure? Findings In this secondary analysis of the Randomized Evaluation of Sedation Titration for Respiratory Failure clinical trial, more than two-thirds of children missed school after discharge for a median of 9.1 days. Among primary caregivers, more than half missed work after their child’s hospitalization for a median of 2 days. Meaning These findings suggest that children and their caregivers often miss school or work after critical care hospitalization for acute respiratory failure; these children may be at increased risk of lower educational achievement, economic hardship, and poor health outcomes in adulthood.

Even with pedicle screw instrumentation, the researchers saw an increase in infection in overweight and obese patients. Patients should be counseled before surgery for weight loss to limit surgical complications such as possible risk of postoperative wound infection.