International Pediatric Otolaryngology Group (IPOG): Consensus recommendations on the prenatal and perinatal management of anticipated airway obstruction. - Université de Lille
Article Dans Une Revue International Journal of Pediatric Otorhinolaryngology Année : 2020

International Pediatric Otolaryngology Group (IPOG): Consensus recommendations on the prenatal and perinatal management of anticipated airway obstruction.

Karthik Balakrishnan
  • Fonction : Auteur
Richard Hewitt
  • Fonction : Auteur
John Russell
  • Fonction : Auteur
Douglas Sidell
  • Fonction : Auteur
George Zalzal
  • Fonction : Auteur

Résumé

Objective To make recommendations on the identification, routine evaluation, and management of fetuses at risk for airway compromise at delivery. Methods Recommendations are based on expert opinion by members of the International Pediatric Otolaryngology Group (IPOG). A two-iterative Delphi method questionnaire was distributed to all members of the IPOG and responses recorded. The respondents were given the opportunity to comment on the content and format of the survey, which was modified for the second round. “Consensus” was defined by >80% respondent affirmative responses, “agreement” by 51–80% affirmative responses, and “no agreement” by 50% or less affirmative responses. Results Recommendations are provided regarding etiologies of perinatal airway obstruction, imaging evaluation, adjunct evaluation, multidisciplinary team and decision factors, micrognathia management, congenital high airway obstruction syndrome management, head and neck mass management, attended delivery procedure, and delivery on placental support procedure. Conclusions Thorough evaluation and thoughtful decision making are required to optimally balance fetal and maternal risks/benefits.
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Dates et versions

hal-04381750 , version 1 (09-01-2024)

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Citer

Michael D. Puricelli, Reza Rahbar, Gregory C. Allen, Karthik Balakrishnan, Matthew T. Brigger, et al.. International Pediatric Otolaryngology Group (IPOG): Consensus recommendations on the prenatal and perinatal management of anticipated airway obstruction.. International Journal of Pediatric Otorhinolaryngology, 2020, International Journal of Pediatric Otorhinolaryngology, 138, pp.110281. ⟨10.1016/j.ijporl.2020.110281⟩. ⟨hal-04381750⟩
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