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British Journal of Anaesthesia, 1991, Vol. 66, No. 3 391-393
© 1991 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

PULMONARY OEDEMA FOLLOWING RELIEF OF UPPER AIRWAY OBSTRUCTION IN THE PIERRE-ROBIN SYNDROME: A CONSEQUENCE OF EARLY PALATAL REPAIR?

M. LYNCH, M.B., B.S., M.R.C.P., F.C.ANAES. and S. UNDERWOOD, M.B., CH.B., F.C.ANAES.

Department of Anaesthesia, Hospital for Sick Children Great Ormond Street, London WC1N 3JH
Present address: Department of Anaesthesia, Royal Free Hospital Pond Street, London NW3 2QG
Present address: Department of Anaesthesia, The London Hospital White-chapel Road, London E1 1BB

Pulmonary oedema occurred following relief of an acute upper airway obstruction in an infant with Pierre-Robin syndrome undergoing cleft palate repair. We anticipate an increased prevalence of this phenomenon in view of the present trend for early palatal repair, and would advocate the routine use of a nasopharyngeal airway after operation in infants with severe micrognathia.


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