title: Anesthetic Challenges in an Adult with Pierre Robin Sequence, Severe Juvenile Scoliosis, and Respiratory Failure.
abstract: Anesthesiologists have the privilege and challenge of providing care for an extremely diverse population of patients, at times in urgent or emergent situations. We present a case of a 31-year-old woman with Pierre Robin sequence, severe juvenile scoliosis, and respiratory failure who underwent successful awake nasal fiberoptic intubation for tracheostomy at an adult tertiary care medical center. Familiarity with patient conditions infrequently encountered within our practice, as well as adherence to practice guidelines, proved essential to providing our patient with the safest care possible.
authors.affiliation: From the Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington.
authors.forename: Alyse N
authors.initials: AN
authors.lastname: Rymer
authors.forename: Grete H
authors.initials: GH
authors.lastname: Porteous
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Neal
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D000777:Anesthetics / Q000008:administration & dosage*; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D009666:Nose; D010855:Pierre Robin Syndrome / Q000150:complications; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D012600:Scoliosis / Q000150:complications; D014139:Tracheostomy
chemical_list: D000777:Anesthetics