The Experts below are selected from a list of 606 Experts worldwide ranked by ideXlab platform

Tung Ying Tsai - One of the best experts on this subject based on the ideXlab platform.

  • successful management of a neonate with Pierre Robin Syndrome and severe upper airway obstruction by long term placement of a laryngeal mask airway
    Resuscitation, 2004
    Co-Authors: Chih Ta Yao, Jieh Neng Wang, Ying Tai Tai, Tung Ying Tsai
    Abstract:

    The severity of airway obstruction varies in infants with Pierre-Robin Syndrome (PRS). Some have severe upper airway obstruction that results in respiratory failure and even death. We report a case of neonate with isolated PRS who had a severe airway obstruction and respiratory failure after birth. She had complications of bilateral pneumothorax, subcutaneous emphysema, and hypoxaemia due to difficult tracheal intubation. Respiratory failure recurred immediately after extubation; she was resuscitated by inserting a laryngeal mask airway. The laryngeal mask airway was left inserted for 6 days. It was successful in this patient and eliminated the need for invasive surgical procedures. In conclusion, the relatively long term use of a laryngeal mask airway, which has not been reported before, could be an alternative therapy for patients with PRS with airway obstruction.

M C Oneil - One of the best experts on this subject based on the ideXlab platform.

  • a modified nasopharyngeal tube to relieve high upper airway obstruction
    Pediatric Pulmonology, 2000
    Co-Authors: Anne B Chang, I B Masters, Mark Harris, G R Williams, M C Oneil
    Abstract:

    Infants with high upper airway obstruction (UAO) are managed with a variety of techniques to relieve their UAO. Among these techniques, the least invasive and safest is the nasopharyngeal tube (NPT). However, the traditional NPT is not always satisfactory, and tracheostomies need to be done. We recently described a modified NPT technique that, in contrast to the traditional tube, does not add airway dead space and resistance, is easy to use, is well-tolerated, has proven highly successful, and allows the simultaneous use of oxygen nasal prongs. This modified NPT has many advantages over the traditional NPT as a temporary management of high UAO that resolves with growth of the infant. This report highlights the respiratory care of 10 infants with high UAO (Pierre Robin Syndrome, Down Syndrome, Goldenhar Syndrome, isolated microngathia, and idiopathic hypotonia) who were managed with a modified NPT. The modified NPT described potentially reduces the need for surgical intervention to relieve high UAO in infants. Pediatr Pulmonol. 2000; 29:299–306. © 2000 Wiley-Liss, Inc.

  • modified nasopharyngeal tube for upper airway obstruction
    Archives of Disease in Childhood, 1999
    Co-Authors: I B Masters, Anne B Chang, Mark Harris, M C Oneil
    Abstract:

    A modified nasopharyngeal tube is described that does not add airway dead space and resistance, is well tolerated, highly successful, and allows simultaneous use of oxygen prongs. This potentially reduces the need for surgical intervention to relieve high upper airway obstruction from Pierre-Robin Syndrome and other causes.

Chih Ta Yao - One of the best experts on this subject based on the ideXlab platform.

  • successful management of a neonate with Pierre Robin Syndrome and severe upper airway obstruction by long term placement of a laryngeal mask airway
    Resuscitation, 2004
    Co-Authors: Chih Ta Yao, Jieh Neng Wang, Ying Tai Tai, Tung Ying Tsai
    Abstract:

    The severity of airway obstruction varies in infants with Pierre-Robin Syndrome (PRS). Some have severe upper airway obstruction that results in respiratory failure and even death. We report a case of neonate with isolated PRS who had a severe airway obstruction and respiratory failure after birth. She had complications of bilateral pneumothorax, subcutaneous emphysema, and hypoxaemia due to difficult tracheal intubation. Respiratory failure recurred immediately after extubation; she was resuscitated by inserting a laryngeal mask airway. The laryngeal mask airway was left inserted for 6 days. It was successful in this patient and eliminated the need for invasive surgical procedures. In conclusion, the relatively long term use of a laryngeal mask airway, which has not been reported before, could be an alternative therapy for patients with PRS with airway obstruction.

I B Masters - One of the best experts on this subject based on the ideXlab platform.

  • a modified nasopharyngeal tube to relieve high upper airway obstruction
    Pediatric Pulmonology, 2000
    Co-Authors: Anne B Chang, I B Masters, Mark Harris, G R Williams, M C Oneil
    Abstract:

    Infants with high upper airway obstruction (UAO) are managed with a variety of techniques to relieve their UAO. Among these techniques, the least invasive and safest is the nasopharyngeal tube (NPT). However, the traditional NPT is not always satisfactory, and tracheostomies need to be done. We recently described a modified NPT technique that, in contrast to the traditional tube, does not add airway dead space and resistance, is easy to use, is well-tolerated, has proven highly successful, and allows the simultaneous use of oxygen nasal prongs. This modified NPT has many advantages over the traditional NPT as a temporary management of high UAO that resolves with growth of the infant. This report highlights the respiratory care of 10 infants with high UAO (Pierre Robin Syndrome, Down Syndrome, Goldenhar Syndrome, isolated microngathia, and idiopathic hypotonia) who were managed with a modified NPT. The modified NPT described potentially reduces the need for surgical intervention to relieve high UAO in infants. Pediatr Pulmonol. 2000; 29:299–306. © 2000 Wiley-Liss, Inc.

  • modified nasopharyngeal tube for upper airway obstruction
    Archives of Disease in Childhood, 1999
    Co-Authors: I B Masters, Anne B Chang, Mark Harris, M C Oneil
    Abstract:

    A modified nasopharyngeal tube is described that does not add airway dead space and resistance, is well tolerated, highly successful, and allows simultaneous use of oxygen prongs. This potentially reduces the need for surgical intervention to relieve high upper airway obstruction from Pierre-Robin Syndrome and other causes.

Brigitte Fauroux - One of the best experts on this subject based on the ideXlab platform.

  • noninvasive positive pressure ventilation in infants with upper airway obstruction comparison of continuous and bilevel positive pressure
    Intensive Care Medicine, 2005
    Co-Authors: Sandrine Essouri, Frederic Lofaso, Annick Clément, Erea Noel Garabedian, Frederic Nicot, Gilles Roger, Brigitte Fauroux
    Abstract:

    This study evaluated the efficacy of noninvasive continuous positive pressure (CPAP) ventilation in infants with severe upper airway obstruction and compared CPAP to bilevel positive airway pressure (BIPAP) ventilation. Prospective, randomized, controlled study in the pulmonary pediatric department of a university hospital. Ten infants (median age 9.5 months, range 3—18) with laryngomalacia (n=5), tracheomalacia (n=3), tracheal hypoplasia (n=1), and Pierre Robin Syndrome (n=1) Breathing pattern and respiratory effort were measured by esophageal and transdiaphragmatic pressure monitoring during spontaneous breathing, with or without CPAP and BIPAP ventilation. Median respiratory rate decreased from 45 breaths/min (range 24–84) during spontaneous breathing to 29 (range 18–60) during CPAP ventilation. All indices of respiratory effort decreased significantly during CPAP ventilation compared to unassisted spontaneous breathing (median, range): esophageal pressure swing from 28 to 10 cmH2O (13–76 to 7–28), esophageal pressure time product from 695 to 143 cmH2O/s per minute (264–1417 to 98–469), diaphragmatic pressure time product from 845 to 195 cmH2O/s per minute (264–1417 to 159–1183) During BIPAP ventilation a similar decrease in respiratory effort was observed but with patient-ventilator asynchrony in all patients. This short-term study shows that noninvasive CPAP and BIPAP ventilation are associated with a significant and comparable decrease in respiratory effort in infants with upper airway obstruction. However, BIPAP ventilation was associated with patient-ventilator asynchrony.