Case report of neonate Pierre Robin sequence with severe upper airway obstruction who was rescued by finger guide intubation.

Abstract:

BACKGROUND:Pierre Robin Sequence (PRS) patients are known for their triad of micrognathia, glossoptosis, and airway obstruction. Their airway can be a challenge even for the most experienced pediatric anesthesiologist. CASE PRESENTATION:We report the case of a 9 day old 3.5 kg boy diagnosed with PRS, cleft palate, and a vallecular cyst with severe upper airway obstruction. The combination of PRS, cleft palate and the presence of vallecular cyst made this a cascade reaction of difficult airway. Due to his unique anatomy, we didn't appreciate how difficult his airway was until multiple attempts with high-tech equipment failed. Ultimately it was the finger guide intubation, this old technique without any equipment, that rescued this patient from lose of airway. CONCLUSIONS:The boy was successfully rescued by finger guided intubation. Finger guide intubation should be added to the anesthesiologist's newborn rescue intubation training.

journal_name

BMC Anesthesiol

journal_title

BMC anesthesiology

authors

Zhang L,Fei J,Jia J,Shi X,Qu M,Wang H

doi

10.1186/s12871-019-0754-2

subject

Has Abstract

pub_date

2019-05-22 00:00:00

pages

84

issue

1

issn

1471-2253

pii

10.1186/s12871-019-0754-2

journal_volume

19

pub_type

杂志文章
  • Preferential effects of low volume versus high volume replacement with crystalloid fluid in a hemorrhagic shock model in pigs.

    abstract:BACKGROUND:Fluid resuscitation is a core stone of hemorrhagic shock therapy, and crystalloid fluids seem to be associated with lower mortality compared to colloids. However, as redistribution starts within minutes, it has been suggested to replace blood loss with a minimum of a three-fold amount of crystalloids. The hy...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-015-0114-9

    authors: Ponschab M,Schöchl H,Keibl C,Fischer H,Redl H,Schlimp CJ

    更新日期:2015-10-06 00:00:00

  • Bupivacaine suppresses the progression of gastric cancer through regulating circ_0000376/miR-145-5p axis.

    abstract:BACKGROUND:Local anesthetic Bupivacaine commonly used in gastric cancer resection operation has been reported to suppress the progression of gastric cancer. However, the specific mechanism by which Bupivacaine functions is largely unexplored. METHODS:The viability and metastasis of gastric cancer cells were assessed b...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-020-01179-4

    authors: Ju C,Zhou J,Miao H,Chen X,Zhang Q

    更新日期:2020-10-30 00:00:00

  • Diaphragm assessment by two dimensional speckle tracking imaging in normal subjects.

    abstract:BACKGROUND:Conventionally, ultrasonographic assessment of diaphragm contractility has involved measuring respiratory changes in diaphragm thickness (thickening fraction) using B-mode or caudal displacement with M-mode. Two-dimensional speckle-tracking has been increasingly used to assess muscle deformation ('strain') i...

    journal_title:BMC anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1186/s12871-016-0201-6

    authors: Orde SR,Boon AJ,Firth DG,Villarraga HR,Sekiguchi H

    更新日期:2016-07-25 00:00:00

  • The communication between patient relatives and physicians in intensive care units.

    abstract:BACKGROUND:Patients in intensive care units (ICUs) are often physically unable to communicate with their physicians. Thus, the sharing of information about the on-going treatment of the patients in ICUs is directly related to the communication attitudes governing a patient's relatives and the physician. This study aims...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12871-017-0388-1

    authors: Cicekci F,Duran N,Ayhan B,Arican S,Ilban O,Kara I,Turkoglu M,Yildirim F,Hasirci I,Karaibrahimoglu A,Kara I

    更新日期:2017-07-17 00:00:00

  • Abdominal circumference but not the degree of lumbar flexion affects the accuracy of lumbar interspace identification by Tuffier's line palpation method: an observational study.

    abstract:BACKGROUND:Lumbar puncture for spinal or epidural anesthesia is commonly performed by palpating bony landmarks, but identification of the desired intervertebral level is often inaccurate. It is unclear whether such inaccuracy is related to patient factors, such as body mass index and degree of lumbar flexion. We hypoth...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/1471-2253-15-9

    authors: Lin N,Li Y,Bebawy JF,Dong J,Hua L

    更新日期:2015-01-21 00:00:00

  • Pulmonary hypertension attenuates the dynamic preload indicators increase during experimental hypovolemia.

    abstract:BACKGROUND:Pulse pressure (PPV) and stroke volume (SVV) variations may not be reliable in the setting of pulmonary hypertension and/or right ventricular (RV) failure. We hypothesized that RV afterload increase attenuates SVV and PPV during hypovolemia in a rabbit model of pulmonary embolism (PE) secondary to RV dysfunc...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-017-0329-z

    authors: Bouchacourt JP,Riva J,Grignola JC

    更新日期:2017-03-03 00:00:00

  • Long-duration general anesthesia influences the intelligence of school age children.

    abstract:BACKGROUND:General anesthesia has been linked to impaired brain development in immature animals and young children. In this study the influence of orthopedic surgery under general anesthesia on the intelligence of school age children has been evaluated. METHODS:A total of 209 subjects aged 6-12 years were recruited an...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-017-0462-8

    authors: Zhang Q,Peng Y,Wang Y

    更新日期:2017-12-19 00:00:00

  • Validation of noninvasive continuous arterial pressure measurement by ClearSight System™ during induction of anesthesia for cardiovascular surgery.

    abstract:BACKGROUND:Since blood pressure tends to be unstable during induction of anesthesia in patients undergoing cardiovascular surgery, an artery catheter is often inserted before induction to continuously monitor arterial pressure during induction of anesthesia. ClearSight System™ enables noninvasive continuous measurement...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-020-01091-x

    authors: Tanioku T,Yoshida A,Aratani Y,Fujii K,Kawamata T

    更新日期:2020-07-20 00:00:00

  • The effects of different doses of dexmedetomidine on the requirements for propofol for loss of consciousness in patients monitored via the bispectral index: a double-blind, placebo-controlled trial.

    abstract:BACKGROUND:The α2-adrenergic agonist dexmedetomidine (DEX) is a sedative and can be used as an adjunct to hypnotics. The study sought to evaluate the effects of different doses of DEX on the requirements for propofol for loss of consciousness (LOC) in patients monitored via the bispectral index (BIS). METHODS:In this ...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-020-01013-x

    authors: Gu Y,Yang F,Zhang Y,Zheng J,Wang J,Li B,Ma T,Cui X,Lu K,Ma H

    更新日期:2020-04-25 00:00:00

  • Is lower-dose sugammadex a cost-saving strategy for reversal of deep neuromuscular block? Facts and fiction.

    abstract:BACKGROUND:Sugammadex, a γ-cyclodextrin derivative, belongs to a new class of selective relaxant binding agents. Sugammadex was approved 10-years ago by the European medicines agency and today is used in clinical anesthesia and emergency medicine globally. In this review, indications for neuromuscular block, the challe...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1186/s12871-018-0605-6

    authors: de Boer HD,Carlos RV,Brull SJ

    更新日期:2018-11-06 00:00:00

  • The impact of topical lidocaine and timing of LMA removal on the incidence of airway events during the recovery period in children: a randomized controlled trial.

    abstract:BACKGROUND:The timing of laryngeal mask airway (LMA) removal remains undefined. This study aimed to assess the optimal timing for LMA removal and whether topical anesthesia with lidocaine could reduce airway adverse events. METHODS:This randomized controlled trial assessed one-to-six-year-old children with ASA I-II sc...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-021-01235-7

    authors: Sun R,Bao X,Gao X,Li T,Wang Q,Li Y

    更新日期:2021-01-08 00:00:00

  • TREK-1 mediates isoflurane-induced cytotoxicity in astrocytes.

    abstract:BACKGROUND:There are growing concerns that anaesthetic exposure can cause extensive apoptotic degeneration of neurons and the impairment of normal synaptic development and remodelling. However, little attention has been paid to exploring the possible cytotoxicity of inhalation anaesthetics, such as isoflurane, in astro...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-017-0420-5

    authors: Guo H,Peng Z,Yang L,Liu X,Xie Y,Cai Y,Xiong L,Zeng Y

    更新日期:2017-09-05 00:00:00

  • The interplay of BDNF-TrkB with NMDA receptor in propofol-induced cognition dysfunction : Mechanism for the effects of propofol on cognitive function.

    abstract:BACKGROUND:The aim of the present study was to verify whether propofol impaired learning and memory through the interplay of N-methyl-D-aspartate (NMDA) receptor with brain-derived neurotrophic factor (BDNF)-tyrosine kinase B (TrkB) signaling pathway. METHODS:120 Sprague-Dawley (SD) rats were randomly assigned into ei...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-018-0491-y

    authors: Zhou J,Wang F,Zhang J,Li J,Ma L,Dong T,Zhuang Z

    更新日期:2018-04-05 00:00:00

  • Enhanced preoperative education about continuous femoral nerve block with patient-controlled analgesia improves the analgesic effect for patients undergoing total knee arthroplasty and reduces the workload for ward nurses.

    abstract:BACKGROUND:Total knee arthroplasty (TKA) is the most common treatment for end-stage knee osteoarthritis and continuous femoral nerve block (CFNB) has become the gold standard for analgesia. But the lack of knowledge about CFNB and patient-controlled analgesia (PCA) often leads to inappropriate dose of medications and i...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12871-019-0826-3

    authors: Lin X,Zhou Y,Zheng H,Zhang J,Wang X,Liu K,Wang J,Guo X,Li Z,Han B

    更新日期:2019-08-14 00:00:00

  • Median effective effect-site concentration of sufentanil for wake-up test in adolescents undergoing surgery: a randomized trial.

    abstract:BACKGROUND:To determine the median effective concentration of sufentanil as an analgesic during wake-up tests after sevoflurane anesthesia during surgery for adolescent idiopathic scoliosis (AIS). METHODS:This is a randomised controlled trial. Sixty patients aged 13-18 years scheduled for AIS surgery were randomized i...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12871-015-0003-2

    authors: Zhang CH,Ma WQ,Yang YL,Wang HM,Dong FT,Huang ZX

    更新日期:2015-03-08 00:00:00

  • Desflurane impairs hippocampal learning on day 1 of exposure: a prospective laboratory study in rats.

    abstract:BACKGROUND:Quick and complete recovery of cognitive function after general anesthesia is desirable, particularly for working-age patients. Desflurane is less likely to have long-term effects than older-generation inhalational anesthetics, however, its short-term effects have not been fully investigated. Our objective w...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-019-0793-8

    authors: Tojo A,Uchimoto K,Inagawa G,Goto T

    更新日期:2019-07-04 00:00:00

  • Sciatic lateral popliteal block with clonidine alone or clonidine plus 0.2% ropivacaine: effect on the intra-and postoperative analgesia for lower extremity surgery in children: a randomized prospective controlled study.

    abstract:BACKGROUND:The effect of adding clonidine to local anesthetics for nerve or plexus blocks remains unclear. Most of the studies in adults have demonstrated the positive effects of clonidine on intra- and postoperative analgesia when used as an adjunctive agent or in some cases as a single to regional techniques. In the ...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/1471-2253-12-2

    authors: Petroheilou K,Livanios S,Zavras N,Hager J,Fassoulaki A

    更新日期:2012-02-01 00:00:00

  • Comparative addition of dexmedetomidine and fentanyl to intrathecal bupivacaine in orthopedic procedure in lower limbs.

    abstract:BACKGROUND:Spinal block is a common procedure for lower limbs surgery. Fentanyl, a synthetic opioid and dexmedetomidine, a selective α2 agonist have been used as adjuvants in spinal anesthesia to prolong intraoperative and postoperative analgesia. The aim of current study is to compare the efficacy of dexmedetomidine a...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12871-018-0531-7

    authors: Rahimzadeh P,Faiz SHR,Imani F,Derakhshan P,Amniati S

    更新日期:2018-06-06 00:00:00

  • shRNA mediated knockdown of Nav1.7 in rat dorsal root ganglion attenuates pain following burn injury.

    abstract:BACKGROUND:Abnormal acute pain after burn injury still torments patients severely. In this study, we investigated that one voltage gated sodium channel Nav1.7 plays a vital role in lowering heat pain threshold after burn injury, and the hypothesis that knockdown of Nav1.7 attenuates pain following burn injury. METHODS...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-016-0215-0

    authors: Cai W,Cao J,Ren X,Qiao L,Chen X,Li M,Zang W

    更新日期:2016-08-11 00:00:00

  • Human physiologically based pharmacokinetic model for propofol.

    abstract::BACKGROUND: Propofol is widely used for both short-term anesthesia and long-term sedation. It has unusual pharmacokinetics because of its high lipid solubility. The standard approach to describing the pharmacokinetics is by a multi-compartmental model. This paper presents the first detailed human physiologically based...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/1471-2253-5-4

    authors: Levitt DG,Schnider TW

    更新日期:2005-04-22 00:00:00

  • The influence of APACHE II score on the average noise level in an intensive care unit: an observational study.

    abstract:BACKGROUND:Noise levels in hospitals, especially in intensive care units (ICUs) are known to be high, potentially affecting not only the patients' well-being but also their clinical outcomes. In an observational study, we made a long-term measurement of noise levels in an ICU, and investigated the influence of various ...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-015-0019-7

    authors: Park M,Vos P,Vlaskamp BN,Kohlrausch A,Oldenbeuving AW

    更新日期:2015-03-31 00:00:00

  • A randomized controlled trial evaluating the hemodynamic impact of ultrasound-guided great auricular nerve block in middle ear microsurgery.

    abstract:BACKGROUND:The peri-operative effectiveness of ultrasound-guided great auricular nerve block (GANB) in patients, especially in adult patients undergoing middle ear microsurgery remains unclear. We hypothesized that ultrasound-guided GANB would decrease the hemodynamic responsiveness to incision and opioid consumption i...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-020-01155-y

    authors: Liu J,Yuan K,Zhou H,Li L,Wang G,Li T

    更新日期:2020-09-15 00:00:00

  • Anaesthetic considerations of adults with Morquio's syndrome - a case report.

    abstract:BACKGROUND:The anaesthetic management of patients with Morquio syndrome is complicated by a number of factors including odontoid hypoplasia, atlantoaxial instability, thoracic kyphosis, and deposition of mucopolysaccharides in the soft tissue of the oropharnyx. CASE PRESENTATION:Herein we describe the anaesthetic cons...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/1471-2253-10-2

    authors: McLaughlin AM,Farooq M,Donnelly MB,Foley K

    更新日期:2010-02-26 00:00:00

  • Isoflurane reduces hypoxia/reoxygenation-induced apoptosis and mitochondrial permeability transition in rat primary cultured cardiocytes.

    abstract:BACKGROUND:The volatile anesthetic isoflurane protects the heart from hypoxia/reperfusion (H/R) injury. However, it is still incompletely understood whether isoflurane exerts its protective role through preventing mitochondrial permeability transition pore (MPTP) opening. METHODS:Primary cultured cardiocytes were expo...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/1471-2253-14-17

    authors: Wu W,Zhou X,Liu P,Fei W,Li L,Yun H

    更新日期:2014-03-10 00:00:00

  • Effect of low dose naloxone on the immune system function of a patient undergoing video-assisted thoracoscopic resection of lung cancer with sufentanil controlled analgesia - a randomized controlled trial.

    abstract:BACKGROUND:Perioperative immune function plays an important role in the prognosis of patients. Several studies have indicated that low-dose opioid receptor blockers can improve immune function. METHODS:Sixty-nine patients undergoing video-assisted thoracoscopic resection of the lung cancer were randomly assigned to ei...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12871-019-0912-6

    authors: Lin Y,Miao Z,Wu Y,Ge FF,Wen QP

    更新日期:2019-12-19 00:00:00

  • Grade III bone cement implantation syndrome in malignant lung cancer patient: a case report.

    abstract:BACKGROUND:Bone cement implantation syndrome is a known complication causing mortality during perioperative period particularly in patients with malignancy. With rise in aging population with malignancy in low income country, the syndrome is more likely to be encountered. CASE PRESENTATION:We present a case of 66 year...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-018-0492-x

    authors: Hamal PK,Poudel PR,Singh J

    更新日期:2018-03-02 00:00:00

  • Point-of-care ultrasound defines gastric content in elective surgical patients with type 2 diabetes mellitus: a prospective cohort study.

    abstract:BACKGROUND:Delayed gastric emptying and the resultant "full stomach" is the most important risk factor for perioperative pulmonary aspiration. Using point-of-care gastric sonography, we aimed to investigate the prevalence of full stomach and its risk factors in elective surgical patients with type 2 diabetes. METHODS:...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12871-019-0848-x

    authors: Zhou L,Yang Y,Yang L,Cao W,Jing H,Xu Y,Jiang X,Xu D,Xiao Q,Jiang C,Bo L

    更新日期:2019-10-10 00:00:00

  • Effects of hyperthermia on the effective concentration of rocuronium and sugammadex-mediated reversal in isolated phrenic nerve hemidiaphragm preparations of rats.

    abstract:BACKGROUND:Hyperthermia is relatively rare during general anesthesia; however, a few studies have been conducted on hyperthermia and the neuromuscular blockade (NMB) induced by rocuronium, and the reversal of NMB by sugammadex. We investigated the effect of hyperthermia status on the NMB induced by rocuronium, and its ...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-020-01114-7

    authors: Kim JS,Kim YM,Kim HJ,Choi JM,Kim YB,Song JS,Yang HS

    更新日期:2020-08-07 00:00:00

  • Anesthesia management of atrial myxoma resection with multiple cerebral aneurysms: a case report and review of the literature.

    abstract:BACKGROUND:Embolic stroke is a common complication of atrial myxoma, whereas multiple cerebral aneurysms associated with atrial myxoma is rare. The pathogenesis of the cerebral vascular disease related to an atrial myxoma is still not well known, and there are no guidelines to guide treatment and anesthesia management ...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-020-01055-1

    authors: Zhang R,Tang Z,Qiao Q,Mahmood F,Feng Y

    更新日期:2020-07-04 00:00:00

  • Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa.

    abstract:BACKGROUND:Mortality from anaesthesia and surgery in many countries in Sub-Saharan Africa remain at levels last seen in high-income countries 70 years ago. With many factors contributing to these poor outcomes, the World Health Organization (WHO) launched the "Safe Surgery Saves Lives" campaign in 2007. This program in...

    journal_title:BMC anesthesiology

    pub_type: 杂志文章

    doi:10.1186/s12871-016-0228-8

    authors: Epiu I,Tindimwebwa JV,Mijumbi C,Ndarugirire F,Twagirumugabe T,Lugazia ER,Dubowitz G,Chokwe TM

    更新日期:2016-08-11 00:00:00