A modified nasopharyngeal tube to relieve high upper airway obstruction

Manejo de vía aérea difícil en secuencia de Pierre Robin. Reporte de un caso

“…De esta manera se evita la ansiedad generada por el procedimiento, tanto en familiares como en el personal de salud, se disminuyen gastos y la probabilidad de incidentes mayores asociados a intubaciones fallidas como hipoxemia, laringoespasmo, paro cardiorrespiratorio e incluso deceso 17 .…”

Logistic regression analysis of Pierre Robin sequence patients requiring surgical intervention

“…Treatment of PRS TBAO has been attempted with different modalities including positioning, NPA, TLA, perimandibular wires with traction, and tube gauze head suspension . Many of these treatments have fallen out of favor; however, the NPA continues to be a mainstay.…”

“…A subset of PRS patients with unstable/severe TBAO or other factors (i.e., severe prematurity, failed extubation attempts) will require tracheostomy. Extended NPA use have been advocated to determine the necessity for surgical intervention . Despite the use of NPA, 25% to 44% of patients require surgical airway management .…”

“…During hospitalization with adjunctive airway devices, authors have advocated following weight gain and increasing caloric density of feeds, with a target weight of 3.5 kg . The ability of PRS TBAO patients to gain weight was considered an indicator of successful use of the NPA . Once adequate weight gain has been achieved, sequential removal of the NPA will determine the ability of the patient to breath without it or if surgical intervention is warranted.…”

Securing a nasopharyngeal airway

“…Chang et al have described a method of securing a modified nasopharyngeal tube 4 . The tube is prepared by cutting at the measured length plus 5 cm.…”