Author:
Yogo Naoki,Sasaki Taeko,Kozumi Masato,Kinoshita Yuya,Muto Yuichiro,Hirai Katsuki,Yoshino Yuichiro
Abstract
Abstract
Background
Airway management in children with severe burns is difficult because of airway edema and prolonged duration of ventilatory management. There is insufficient evidence to suggest that tracheostomy is beneficial for children.
Case presentation
A male child aged 1 year and 4 months was injured when he accidentally fell into a bathtub filled with boiling water. Furthermore, 85% of the burnt area, including the face and neck, consisted of second-degree burns; hence, oral tracheal intubation and resuscitative infusion were required. In this case, the patient was safely switched from oral to nasotracheal intubation using a tracheal tube guide and video laryngoscope, without the use of a bronchoscope, and ventilatory management could be continued for 2 weeks.
Conclusion
Oral to nasal endotracheal tube exchange using a tracheal tube guide and video laryngoscope may be useful not only for pediatric burn patients but also for adult patients who need to be safely switched from oral to nasotracheal intubation.
Publisher
Springer Science and Business Media LLC
Reference15 articles.
1. Christian CE, Thompson NE, Wakeham MK. Use and outcomes of nasotracheal intubation among patients requiring mechanical ventilation across U.S. PICUs. Pediatr Crit Care Med. 2020;21:620–4. https://doi.org/10.1097/PCC.0000000000002267.
2. Assi P, Quiroga L, Gerold K, et al. Endotracheal tube fixation in patients with facial burns, what are the options? EPlasty. 2018;18:ic19.
3. Sakata S, Hallett KB, Brandon MS, McBride CA. Easy come, easy go: a simple and effective orthodontic enamel anchor for endotracheal tube stabilization in a child with extensive facial burns. Burns. 2009;35:983–6. https://doi.org/10.1016/j.burns.2009.01.007.
4. Keskin G, Akin M, Unal D. Fixation of endotracheal tube in a pediatric patient with facial and neck burn injury; a novel technique. Trends Anaesth Crit Care. 2018;21:57–9. https://doi.org/10.1016/j.tacc.2018.05.002.
5. Zimmerman J, Rotta AT. Fuhrman and Zimmerman’s pediatric critical care. 6th ed. Amsterdam: Elsevier; 2021. p. 1524-1525.