Abstract
In this video, the neonatology team placed an oral airway to relieve the neonate’s respiratory distress associated with inspiratory stridor. Which of the following intervention/s could also be helpful to relieve these symptoms? Note: More than 1 option might be correct. Video. Click here to view the video. Reproduced with permission of Akshaya Vachharajani, MD, FAAP, and The Saigh Foundation Pediatric Simulation Center, St. Louis Children's Hospital, Washington University School of Medicine. Copyright 2017. Stridor represents obstructed flow within the airway that can be heard during the inspiratory phase, expiratory phase, or both phases. The neonate in this video has inspiratory stridor. Stridor during inspiration suggests an extrathoracic or upper airway obstruction. The causes of upper airway obstruction in a neonate include tongue displaced posteriorly (as occurs with Pierre-Robin sequence), anomalies of the larynx (such as laryngomalacia, laryngeal hemangioma, and vocal cord edema), and vocal cord palsy. The 2 most common causes of inspiratory stridor in a neonate are laryngomalacia and vocal cord palsy. A laryngeal cyst is …
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