Efficacy of I- gel™ for airway management of neonates with Pierre Robin sequence undergoing glossopexy: A prospective study.

Abstract

This paper aims to review the utility of I- gel as a successful airway management device for infants with Pierre robin sequence (PRS) undergoing glossopexy. A prospective study was conducted on PRS neonates. The algorithm followed was putting a 'Tongue traction stitch' followed by the following sequence - two trials with direct laryngoscope intubation, two attempts with fiberoptic endoscope intubation followed by insertion of I-gel™ to manage difficult airway during glossopexy procedure. 6 patients were intubated with direct laryngoscope, 12 patients were intubated with fibreoptic endoscope and the rest 13 patients were intubated using I-gel™. Successful management of difficult airway was achieved with this airway management protocol during glossopexy and nil postoperative complications were encountered. Within the limitations of the study it seems that, I-gel™ is a relevant alternative toprovide a reliable and secure airway access to carry out glossopexy procedure in such patients.

• Authors: Vikram Shetty, Sripada G Mehendale, Muralishankar Bhat, Anirudh Yadav, Devyani Bahl, Hermann Sailer
• Journal: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery (J Craniomaxillofac Surg) Vol. 50 Issue 7 Pg. 569-575 (Jul 2022) ISSN: 1878-4119 [Electronic] Scotland
• PMID: 35787956 (Publication Type: Journal Article)
• Copyright: Copyright © 2022 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Topics

• Airway Management
• Airway Obstruction (etiology, surgery)
• Humans
• Infant
• Infant, Newborn
• Intubation, Intratracheal (methods)
• Pierre Robin Syndrome (complications, surgery)
• Prospective Studies
• Tongue (surgery)