Anaesthetic anagement of Miller's syndrome

G. W. Stevenson*, Steven C Hall, Bruce S. Bauer, Frank A Vicari, Frank L. Seleny

*Corresponding author for this work

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Miller's syndrome is a rare congenital disorder with facial features similar to that of Treacher-Collins syndrome. This report details the anaesthetic management of an infant during multiple surgical procedures, beginning with pylormyotomy at one month of age. Airway management was difficult because of severe micrognathia and was accomplished using an awake intubation with a conventional straight blade modified for continuous administration of oxygen ("oxyscope"). Due to recurrent upper airway obstuction and the anticipated need for multiple surgical procedures in the first years of life, a tracheostomy was placed. Because of the multiple airway, orthopaedic, and nutritional difficulties, it is important that a prospective, multidisciplinary approach be used in these patients' care. Consideration should be given to early tracheostomy for airway maintenance.

Original languageEnglish (US)
Pages (from-to)1046-1049
Number of pages4
JournalCanadian Journal of Anaesthesia
Volume38
Issue number8
DOIs
StatePublished - Nov 1 1991

Keywords

  • anaesthesia: paediatric
  • syndromes: Miller's

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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