Emergent Retrograde Tracheal Intubation in a 3-Year-Old with Stevens-Johnsons Syndrome

Abstract

A 3-year-old girl suffering from Stevens-Johnsons Syndrome with severe sloughing of the oropharyngeal mucosa was brought to the operating room for an emergent tracheostomy after multiple failed attempts to intubate the trachea in the pediatric intensive care unit. However, a retrograde tracheal intubation was successfully performed in the operating room to secure her airway, after which a tracheostomy was performed. Retrograde intubation can be a quick and effective method for securing the difficult airway.

Postępowanie w niespodziewanych trudnych drogach oddechowych u dzieci — stanowisko Sekcji Anestezjologii i Intensywnej Terapii Dziecięcej, Sekcji Przyrządowego Udrażniania Dróg Oddechowych Polskiego Towarzystwa Anestezjologii i Intensywnej Terapii oraz Po

“…Similar equipment can be created by means of Tuohy epidural needle and a guidewire from a central venous cannulation set, using a the Seldinger technique. Retrograde intubation can be combined with fiberoscopy, and with ventilation through an LMA to avoid pauses in the patient's ventilation [115][116][117][118][119]. Re 4.…”