Pediatric anesthesia & critical care
Immediate postdelivery airway management of neonates with prenatally diagnosed micrognathia: A retrospective observational study
Authors' conclusion
Procedure requiring a second team in the operating room is a safe and effective approach to manage airway obstruction in micrognathic neonates while minimizing maternal morbidity.
Study context
- Population
- Neonates with prenatally diagnosed micrognathia undergoing procedure requiring a second team in the OR, and their mothers, single quaternary care children's hospital, 2009–2021
- Participants
- 14 deliveries
- Outcome
- Patient characteristics, airway management and outcomes of micrognathic neonates and their mothers
Methodological detailsdescriptive, single-centre
- Descriptive
- Single-centre
Main finding
As reported in the abstract
Delivery room airway management
- Male
- 85.7%
- Genetic syndrome
- 50%
- Spontaneous respiratory efforts
- 93%
- Required ETT or tracheostomy
- 12 (85.7%)
- Periprocedural deaths
- 0
Observational data: associations, not effects.
Further findings
Follow-up · 90 days
- At least one additional procedure
- 78%
- Death due to unrelated cause
- 1
Maternal anaesthesia
- All mothers had cesarean delivery under neuraxial anaesthesia
Safety
Neonatal critical events (oxygen desaturation, bradycardia, periprocedural death)
- Bradycardia
- 3
- Periprocedural deaths
- 0
- Oxygen desaturation common
Maternal blood transfusion
- Mothers requiring transfusion (for pre-procedural placental abruption)
- 1
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Immediate postdelivery airway management of neonates with prenatally diagnosed micrognathia: A retrospective observational study. Paediatr Anaesth. Published 9 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →