In Situ and Home Care Nasopharyngeal Intubation Improves Respiratory Condition and Prevents Surgical Procedures in Early Infancy of Severe Cases of Robin Sequence

Salmen, Isabel Cristina Drago Marquezini; Marques, Inara

doi:10.1155/2015/608905

Cited by 15 publications

(15 citation statements)

References 30 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…21 Early nasopharyngeal tube placement can help open the airway and has minimal morbidity, and thus can be used to avoid tracheostomy. 22,23 However, these are difficult to keep in place for long periods of time. 1 A shift in primary surgical management away from tracheostomy to TLA and/or MDO took place at our institution in 2007.…”

Section: Discussionmentioning

confidence: 99%

Trends in Natural Decannulation in Patients with Robin Sequence: A Twenty-five Year Retrospective Review

Magge

Schild

Mantilla-Rivas

et al. 2023

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Objective: Robin sequence (RS) consists of micrognathia and glossoptosis that result in upper airway obstruction (UAO). In RS patients who undergo tracheostomy, long-term goals include natural decannulation (ND) without further surgical airway intervention. The objective of this study was to identify long-term trends in the rate and length of time to ND. Methods: Retrospective chart review on 144 patients with RS treated from 1995 to 2020 at a pediatric tertiary care center. Patients were grouped by year of tracheostomy. Demographic data, UAO management, postoperative care, complications, and time to decannulation were recorded. Results: Thirty-six patients met the inclusion criteria. Tracheostomy was performed at a median age of 45.5 days. 19 (53%) patients experienced ND at a median time of 66.1 months. ND rate was higher in non-syndromic patients (93% non-syndromic vs 27% syndromic; P < .0001) and during the first study period (1995-2006: 78%, 2007-2020: 28%; P = .003). Cox proportional-hazard regression demonstrated that white race [aHR 0.15 (0.03-0.8); P = .023] and higher birthweight [aHR 0.9 (0.8-0.98); P = .018] were associated with a higher likelihood of ND while a syndromic diagnosis had a negative association with ND [aHR 12.5 (3.3-50.0); P < .001]. Conclusions: Our study documented that ND in patients with RS who underwent tracheostomy was significantly associated with ethnicity, birthweight, and syndromic status. The negative impact on successful ND was most observed in patients with syndromic associations. Additionally, ND rates are lower in the 2007 to 2020 subgroup. We suspect this is because alternative management techniques such as tongue lip adhesion and mandibular distraction osteogenesis became primary surgical treatment in severe RS upper airway obstruction at our institution starting in 2007.

show abstract

Section: Discussionmentioning

confidence: 99%

Trends in Natural Decannulation in Patients with Robin Sequence: A Twenty-five Year Retrospective Review

Magge

Schild

Mantilla-Rivas

et al. 2023

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

“…This syndrome can appear in isolation (isolated Robin sequence) or in association with clinical syndromes and malformations. ( 26 ) It usually leads to breathing and feeding difficulties. Treatment strategies include nasopharyngeal intubation, nasogastric tube feeding and the use of feeding facilitation techniques.…”

Section: Methodsmentioning

confidence: 99%

“…These skills take time and professional competence to acquire; hence, they affect the nursing workload and, consequently, staff sizing. ( 8 , 24 , 26 )…”

Section: Introductionmentioning

confidence: 99%

Sizing of nursing staﬀ associated with self-care promotion in a pediatric semi-intensive care unit

Trettene¹,

Fontes²,

Razera³

et al. 2017

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

ObjectivesTo calculate and compare the nursing staff size associated with self-care promotion at a pediatric semi-intensive care unit.MethodsThis was a prospective study in which 31 children and their caregivers participated. The nursing workload associated with each participant was evaluated at two different times (first and second hospital stays) using the Nursing Activities Score instrument. The first hospital stay corresponded to self-care promotion. Staff size was calculated according to the nursing hours recommended by the Nursing Activities Score instrument and by Conselho Federal de Enfermagem (COFEN) resolution no. 527/16, in the two hospital stays, and the results were compared.ResultsThe nursing workload in the first hospital stay (14.6 hours) was higher than the nursing workload in the second stay (9.9 hours) (p < 0.001). The Nursing Activities Score revealed that according to the nursing hours, the nursing staff size corresponded to 26 and 18 professionals in the first and second hospital stays, respectively, and to 15 professionals according to COFEN resolution no. 527/16.ConclusionThe number of personnel responsible for promoting self-care in pediatric semi-intensive care units, according to the nursing hours suggested by the Nursing Activities Score, was higher than that recommended by the existing legislation. This demonstrates the necessity of reconsidering staff size for this healthcare profile.

show abstract

“…In a recent study of 107 infants with PRS with severe respiratory difficulty who improved following NPA insertion, the mean duration of NPA use was 57 days (range, 1 to 173), and the mean length of hospitalization was 18 days (range, 2 to 57) 14) . No infant developed complications associated with NPA use, and the NPA was successfully removed without the need for tracheostomy in all cases.…”

Section: Case Reportsmentioning

confidence: 99%

Three Cases of Pierre Robin Sequence with Upper Airway Obstruction Relieved by Nasopharyngeal Airway Insertion

Oh¹,

Park²,

Jung³

et al. 2019

Neonatal Med

View full text Add to dashboard Cite

Pierre Robin sequence (PRS), also called Robin sequence, is a congenital anomaly characterized by a triad of micrognathia, glossoptosis, and upper airway obstruction. Infants with PRS can present with varying degrees of respiratory difficulty secondary to upper airway obstruction. There has been no consensus for the treatment of upper airway obstruction in infants with PRS, but recent studies recommend attempting non-surgical interventions before surgical treatment. In this case report, we present 3 cases of infants diagnosed with PRS who showed persistent respiratory difficulties after birth. Before considering surgical intervention, insertion of a nasopharyngeal airway was attempted in these infants. Following this procedure, symptoms of upper airway obstruction were relieved, and all infants were discharged without surgical interventions; the nasopharyngeal airway was removed 1 to 2 months later. To date, no infant has shown signs of upper airway obstruction. Nasopharyngeal airway insertion is a highly effective and less invasive treatment option for infants with PRS. However, it is not widely known and used in Korea. Nasopharyngeal airway insertion can be preferentially considered before surgical intervention for upper airway obstruction in such infants.

show abstract

In Situ and Home Care Nasopharyngeal Intubation Improves Respiratory Condition and Prevents Surgical Procedures in Early Infancy of Severe Cases of Robin Sequence

Cited by 15 publications

References 30 publications

Trends in Natural Decannulation in Patients with Robin Sequence: A Twenty-five Year Retrospective Review

Trends in Natural Decannulation in Patients with Robin Sequence: A Twenty-five Year Retrospective Review

Sizing of nursing staﬀ associated with self-care promotion in a pediatric semi-intensive care unit

Three Cases of Pierre Robin Sequence with Upper Airway Obstruction Relieved by Nasopharyngeal Airway Insertion

Contact Info

Product

Resources

About