{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:53Z","timestamp":1753877633138,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T00:00:00Z","timestamp":1671753600000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Pierre Robin syndrome (PRS) neonates are one of the most difficult cases to intubate even for an experienced paediatric anaesthesiologist. We describe a case of a PRS-related anatomical anomaly that hindered attempts to manage the airway and the final approach that made it possible to insert an endotracheal tube (ETT). We describe the novel use of a video ureteroscope (Olympus URF-V2) as an airway endoscope. A 7-day-old, 2-kg boy was referred to our tertiary care hospital with diagnosed PRS. He was planned for correction of the mandible with mandibular distraction osteogenesis under general anaesthesia. Fibreoptic scope (Olympus, Japan) revealed the epiglottis lying on the posterior pharynx, which could not be manoeuvred. Due to repeated attempts, the patient developed laryngospasm, and his pulse arterial oxygen saturation (SpO2) was reduced to 70%. Following jaw thrust and slight pulling of the tongue with Magill\u2019s Forceps, a 150-cm long and 0.035-inch diameter atraumatic, Roadrunner\u00ae hydrophilic polyurethane-coated guidewire was introduced through the working channel of the video ureteroscope into the trachea under the vision (and a 3.5-mm ID ETT was railroaded over it and a definitive airway was established). A flexible fibreoptic ureteroscope may be useful in the management of a difficult airway and may become an important tool in the armoury of an anaesthesiologist. At our institute, which is a tertiary care centre, we are now training and utilising video-ureteroscope as an airway endoscope. To our knowledge, there is no documentary evidence of the use of a video ureteroscope for difficult airway management of a neonate.<\/jats:p>","DOI":"10.1093\/omcr\/omac132","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T11:41:19Z","timestamp":1671795679000},"source":"Crossref","is-referenced-by-count":0,"title":["A novel approach to airway management in Pierre Robin syndrome\u2014a case report"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2621-7596","authenticated-orcid":false,"given":"Ajit","family":"Bhardwaj","sequence":"first","affiliation":[{"name":"Dept Of Anaesthesia , & Critical Care, , India"},{"name":"Command Hospital Lucknow , & Critical Care, , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritu","family":"Grewal","sequence":"additional","affiliation":[{"name":"Dept Of Anaesthesia , & Critical Care, , India"},{"name":"Command Hospital Lucknow , & Critical Care, , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaleen","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Dept Of Anaesthesia , & Critical Care, , India"},{"name":"Command Hospital Lucknow , & Critical Care, , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shivinder","family":"Singh","sequence":"additional","affiliation":[{"name":"Dept Of Anaesthesia , & Critical Care, , India"},{"name":"Command Hospital Lucknow , & Critical Care, , India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,23]]},"reference":[{"key":"2022122311410548400_ref1","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1016\/j.ijporl.2015.05.012","article-title":"Pierre Robin sequence: management of respiratory and feeding complications during the first year of life in a tertiary referral centre","volume":"79","author":"Rathe","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2022122311410548400_ref2","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.ijporl.2015.01.035","article-title":"Pierre Robin sequence: review of diagnostic and treatment challenges","volume":"79","author":"Cote","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2022122311410548400_ref3","doi-asserted-by":"crossref","first-page":"1871","DOI":"10.1016\/j.jcms.2016.06.021","article-title":"Non-surgical and surgical interventions for airway obstruction in children with Robin sequence","volume":"44","author":"Van Lieshout","year":"2016","journal-title":"J Craniomaxillofac Surg"},{"key":"2022122311410548400_ref4","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1213\/ANE.0000000000000301","article-title":"Pierre Robin sequence: a perioperative review","volume":"119","author":"Cladis","year":"2014","journal-title":"Anesth Analg"},{"key":"2022122311410548400_ref5","first-page":"52","article-title":"Novel use of flexible paediatric video-video- ureteroscope to confirm double lumen tube placement as an alternative to the conventional bronchoscope","volume-title":"Sri Lankan J Anaesthesiol","author":"Kumar","year":"2021"},{"key":"2022122311410548400_ref6","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1258\/004947506776593413","article-title":"Use of a fiberoptic cystoscope to facilitate intubation in a difficult airway","volume":"36","author":"Gl","year":"2006","journal-title":"Tropic Doct"},{"key":"2022122311410548400_ref7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0974-7796.106869","article-title":"Flexible ureterorenoscopy: tips and tricks","volume":"5","author":"Somani","year":"2013","journal-title":"Urol Ann"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2022\/12\/omac132\/48361656\/omac132.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2022\/12\/omac132\/48361656\/omac132.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T11:41:25Z","timestamp":1671795685000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omac132\/6958500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":7,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omac132","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2022,12]]},"published":{"date-parts":[[2022,12,1]]},"article-number":"omac132"}}