Anaesthetic Challenges in Children with Pierre-Robin Sequence: A Case Series

Haripriya Ramachandran; Dammaningala  Venkataramaiah Bhagya

doi:10.18502/aacc.v8i3.9621

Haripriya Ramachandran Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Rajiv Gandhi University of Health Sciences, Bengaluru, India.
Dammaningala Venkataramaiah Bhagya Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Rajiv Gandhi University of Health Sciences, Bengaluru, India.

DOI: https://doi.org/10.18502/aacc.v8i3.9621

Keywords: Pierre Robin sequence; Difficult ventilation; Difficult intubation; Supraglottic airway device

Abstract

Pierre Robin sequence is associated with a triad of micrognathia, glossoptosis and airway obstruction. Securing the airway is of utmost importance in these patients. Use of vagolytic premedication, nebulisation with lignocaine to obtund airway reflexes, use of other airway devices (SGA) and equipment to assist in different airway scenarios helps in anaesthetising the patients.