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The pediatric genetics clinic is sending over a patient with respiratory distress. As you prepare for the patient’s arrival, you have a chance to look at the chart.
(Click the link to comment and to vote – voting not working through email, sorry!)
The pediatric genetics clinic is sending over a patient with respiratory distress. As you prepare for the patient’s arrival, you have a chance to look at the chart.
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June 21, 2021 at 12:28 pm
Treacher Collins syndrome is characterized by mandibular and maxillary hypoplasia, resulting in a potentially difficult airway. Other syndromes with similar issues include Pierre Robin sequence, Goldenhar syndrome, and Apert syndrome. Trisomy 21 patients commonly have several issues: atlanto-axial instability, tonsillar and adenioidal hypertrophy, relative macroglossia. Patients with Beckwith-Wiedemann syndrome and with mucopolysaccaridoses also have macroglossia. Patients with Klippel-Feil syndrome have severe limitation to neck mobility. Prader-Willi syndrome patients are often morbidly obese. These are some of the most common genetic syndromes that lead to a difficult airway. Planning for alternate airway techniques and backup is key when managing these patients.