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Pierre Robin Sendromlu (PRS) çocukların hava yolu yönetiminde anatomik ve fizyolojik zorluklar vardır. PRS’lu çocuklarda, zor havayoluna sebep olan, mikrognati, glossopitozis vardır. PRS’lu hastalarda havayolu yönetimi zordur ve dikkat gerektirir. Burada PRS’lu 5 yaşında bir kız çocuğu, yarık damak onarımı için hastanemize başvuran bir hastayı sunuyoruz. Ayrıca hastanın trakeostomi öyküsü de vardı. Bu operasyon için, kulak-burun-boğaz uzmanlarının trakeostomi açması gerekti. Hastanın operasyon ve operasyon sonrası dönemi sorunsuz geçti. Bu olgu sunumu ile PRS’lu hastaların havayolu zorluklarını gözden geçirmek istedik. Anestezistler, zorluklar için hazır olmalıdır ve kulak burun boğaz uzmanları da bu zorlukların üstesinden gelinmesi için hazır bulunmalıdırlar. Ek olarak, bronkospazm ve havayolu tıkanıklıkları ekstübasyon sonrası sık görülen komplikasyonlardır, bu nedenle dikkatli postoperatif monitörizasyon uygulanmalıdır.
Children with Pierre Robin syndrome (PRS) have anatomical and physiological difficulties in airway management. In children with PRS, there is micrognatitis, glossopitosis, which causes difficult airlines. In patients with PRS, airline management is difficult and requires attention. Here we offer a 5-year-old girl with PRS, a patient who is applying to our hospital for the repair of the scratch. The patient also had a tracheostomy history. For this operation, the ear- nose- throat specialists should open a tracheostomy. The patient's postoperative and postoperative period has passed without any problems. With this fact presentation, we wanted to review the airline challenges of patients with PRS. Anesthesians should be prepared for difficulties, and ear nasal throat experts should be prepared to overcome these difficulties. Additionally, bronchospasm and aerospace blocks are the common complications after extubation, so careful postoperative monitoring should be carried out.
The children with Pierre Robin Sequence (PRS) have anatomical and physiological challenges of airway management. The children with PRS have difficult airway caused by micrognathia, glossoptosis, and cleft palate. The patients’ airway management who have PRS is dificult and requires attention. Here we present a 5-year-old girl with PRS, admitted to our hospital for cleft palate repair surgery. She also had a history of traсheostomy. Otholaryngologists had to perform trachestomy for this operation. The patient had an uneventful operative and postoperative period. We wanted to discuss the difficulties of airway management of the children with PRS with this case report. Anaesthesiologists must be ready for the challenges and otholaryngologists, must also be ready to manage these difficult airways. In addition, bronchospasm and airway obstruction after extubation are very common complications, so careful postoperative monitoring should be performed.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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