Pediatric anesthesia & critical care
Perioperative Airway Management for Midface Surgery in Children With Syndromic Craniosynostosis; a Single Center Experience With Immediate Extubation
Authors' conclusion
Despite the pre-existing airway disorder, the extent of the procedure and the effect of anesthesia on airway tone, all patients were extubated immediately after midface advancement, with only one young patient needing prolonged postoperative support.
Study context
- Population
- Children with syndromic craniosynostosis undergoing midface advancement (LF3 or monobloc (MB)) with distraction, without tracheostomy, tertiary centre over 10 years
- Participants
- 32 children
- Exposure
- LF3 vs MB
- LF3n = 12
- MBn = 20
- Outcome
- Immediate tracheal extubation after midface surgery
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Immediate extubation
- All patients immediately extubated
- 32
- Time to extubation after surgery, median
- 25 min
- Immediately extubated aged < 5 years
- 8/32
- Immediately extubated with severe OSA (median oAHI 23/h)
- 6/32
- Immediately extubated with difficult airway (Cormack-Lehane grade ≥ 3)
- 5/32
- Intraoperative blood loss, median
- 46 mL/kg
- Operative time, median
- 223 min
Observational data: associations, not effects.
Further findings
Postextubation respiratory support and PICU discharge
- No or only oxygen support in first hours after extubation
- 29/32
- Discharged from PICU to surgical ward after 1 day
- 30/32
Safety
Prolonged airway support
- 5-month-old MB patient required intermittent oxygen and Guedel airway throughout hospitalization (tongue-base obstruction, supine positioning for external traction)
- 1
Original publication
Perioperative Airway Management for Midface Surgery in Children With Syndromic Craniosynostosis; a Single Center Experience With Immediate Extubation. Paediatr Anaesth. Published 21 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →