# Near-Fatal Aspiration in a Child With Pierre Robin Sequence and Aero-Digestive Disorder: A Case Report

## TL;DR

A child with Pierre Robin sequence aspirated after surgery, highlighting the need for better postoperative care guidelines.

## Contribution

This case emphasizes the underemphasized challenges of postoperative care in children with aero-digestive disorders.

## Key findings

- A 17-month-old with PRS aspirated after palatoplasty.
- Treatment with bronchodilators, oxygen, and antibiotics improved the child's condition.
- Standardized postoperative guidelines are needed for such cases.

## Abstract

Pierre Robin sequence (PRS) presents significant challenges in airway management and postoperative care, especially in infants undergoing cleft palate repair. The most critical task for paediatric anaesthetists is securing the airway. The presence of aero-digestive disorders makes postoperative care equally challenging, which is often underemphasised. This report describes the management of a 17-month-old male child with PRS and a partial cleft palate who aspirated postoperatively following palatoplasty. Prompt intervention with nebulised bronchodilators, oxygen therapy, and intravenous antibiotics led to significant clinical improvement. The case underscores the necessity of developing standardised guidelines for managing children post-surgery.