Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case report
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 w...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
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BMC
2022-09-01
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Series: | International Journal of Emergency Medicine |
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Online Access: | https://doi.org/10.1186/s12245-022-00451-3 |
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author | Naoki Yogo Taeko Sasaki Masato Kozumi Yuya Kinoshita Yuichiro Muto Katsuki Hirai Yuichiro Yoshino |
author_facet | Naoki Yogo Taeko Sasaki Masato Kozumi Yuya Kinoshita Yuichiro Muto Katsuki Hirai Yuichiro Yoshino |
author_sort | Naoki Yogo |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-10T14:40:39Z |
format | Article |
id | doaj.art-c8c3311c52f3436685b654be4dd706c7 |
institution | Directory Open Access Journal |
issn | 1865-1372 1865-1380 |
language | English |
last_indexed | 2024-12-10T14:40:39Z |
publishDate | 2022-09-01 |
publisher | BMC |
record_format | Article |
series | International Journal of Emergency Medicine |
spelling | doaj.art-c8c3311c52f3436685b654be4dd706c72022-12-22T01:44:43ZengBMCInternational Journal of Emergency Medicine1865-13721865-13802022-09-011511410.1186/s12245-022-00451-3Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case reportNaoki Yogo0Taeko Sasaki1Masato Kozumi2Yuya Kinoshita3Yuichiro Muto4Katsuki Hirai5Yuichiro Yoshino6Department of Pediatrics, Japanese Red Cross Kumamoto HospitalDepartment of Trauma Surgery, Japanese Red Cross Kumamoto HospitalDepartment of Pediatrics, Japanese Red Cross Kumamoto HospitalDepartment of Pediatrics, Japanese Red Cross Kumamoto HospitalDepartment of Pediatrics, Japanese Red Cross Kumamoto HospitalDepartment of Pediatrics, Japanese Red Cross Kumamoto HospitalDepartment of Dermatology, Japanese Red Cross Kumamoto HospitalAbstract 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.https://doi.org/10.1186/s12245-022-00451-3Safe conversionDifficult airwayIntubationTube exchanger |
spellingShingle | Naoki Yogo Taeko Sasaki Masato Kozumi Yuya Kinoshita Yuichiro Muto Katsuki Hirai Yuichiro Yoshino Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case report International Journal of Emergency Medicine Safe conversion Difficult airway Intubation Tube exchanger |
title | Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case report |
title_full | Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case report |
title_fullStr | Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case report |
title_full_unstemmed | Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case report |
title_short | Oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns: a case report |
title_sort | oral to nasal endotracheal tube exchange using tracheal tube guide and video laryngoscope in a pediatric patient with facial burns a case report |
topic | Safe conversion Difficult airway Intubation Tube exchanger |
url | https://doi.org/10.1186/s12245-022-00451-3 |
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