The use of a noninvasive positive pressure system to facilitate tracheal intubation in a difficult pediatric airway: a case report.

Burns Continuous positive airway pressure Deep sedation Intubation, intratracheal Noninvasive ventilation Pediatrics

Journal

Brazilian journal of anesthesiology (Elsevier)
ISSN: 2352-2291
Titre abrégé: Braz J Anesthesiol
Pays: Brazil
ID NLM: 101624623

Informations de publication

Date de publication:
Historique:
received: 15 12 2020
revised: 04 03 2021
accepted: 13 03 2021
medline: 23 4 2021
pubmed: 23 4 2021
entrez: 22 4 2021
Statut: ppublish

Résumé

Patients with burns to the head and neck may be difficult to intubate or ventilate via facemask. Furthermore, post-burn scarring and microstomia may reduce the success of rescue supraglottic airway placement. While awake tracheal intubation using a flexible intubation scope is considered the optimal technique for these patients, it may not always be feasible in the pediatric population. We report a case of successful management of a difficult airway in a child with extensive post-burn head and neck deformity using a noninvasive positive pressure system to aid with inhalational induction and deep sedation during intubation using a flexible scope.

Identifiants

pubmed: 33887337
pii: S0104-0014(21)00142-1
doi: 10.1016/j.bjane.2021.03.012
pmc: PMC10533971
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

676-679

Informations de copyright

Published by Elsevier España S.L.U.

Références

Burns. 2015 Dec;41(8):1627-1635
pubmed: 25868969
A A Pract. 2019 Mar 1;12(5):160-164
pubmed: 30234516
Acad Pediatr. 2020 May - Jun;20(4):540-548
pubmed: 32044467

Auteurs

Jos R Sober N (JR)

North Florida/Southern Georgia Veterans Health System and the University of Florida, Department of Anesthesiology, Gainesville, Florida; University of Central Florida, Department of Anesthesiology, Orlando, Florida. Electronic address: jsoberon@anest.ufl.edu.

Taran Sangari (T)

University of Florida, College of Medicine, Department of Anesthesiology, Gainesville, Florida.

Jessica Ching (J)

University of Florida, College of Medicine, Department of Surgery, Division of Plastic Surgery, Gainesville, Florida.

Felipe Urdaneta (F)

North Florida/Southern Georgia Veterans Health System and the University of Florida, Department of Anesthesiology, Gainesville, Florida.

Classifications MeSH