[Assessment and management of difficult airways in neonates with Pierre Robin sequence].
OBJECTIVE
To assess the difficult airways preoperatively in neonates with Pierre Robin sequence (PRS).


METHODS
A total of 18 newborn PRS with difficult intubation were evaluated with the assessment grade. The scores were based upon clinical observation, weight gain, airway obstruction and Cormack-Lehane classification.


RESULTS
A total of 14 neonates (77%) had medium (n = 8) and severe (n = 6) airway obstruction. And 89% (n = 16) failed to display glottis and unsuccessful tracheal intubation (50%).


CONCLUSIONS
The assessment practice of clinical observation, weight gain, airway obstruction and Cormack-Lehane classification may help to identify the difficult airways in neonates with PRS.
Department of Anesthesiology, Affiliated Nanjing Children's Hospital, Nanjing Medical University, Nanjing 210008, China. shixiaohua8203@126.com
Xiao-hua
XH
Shi
Ning
N
Yin
Jian
J
Fei
Hong-qiang
HQ
Huang
Wen-xu
WX
Jiang
D000402:Airway Obstruction / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D010855:Pierre Robin Syndrome; D014143:Traction / Q000379:methods*; D016896:Treatment Outcome