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...

Full description

Bibliographic Details
Main Authors: Naoki Yogo, Taeko Sasaki, Masato Kozumi, Yuya Kinoshita, Yuichiro Muto, Katsuki Hirai, Yuichiro Yoshino
Format: Article
Language:English
Published: BMC 2022-09-01
Series:International Journal of Emergency Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12245-022-00451-3
_version_ 1818064731073675264
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
work_keys_str_mv AT naokiyogo oraltonasalendotrachealtubeexchangeusingtrachealtubeguideandvideolaryngoscopeinapediatricpatientwithfacialburnsacasereport
AT taekosasaki oraltonasalendotrachealtubeexchangeusingtrachealtubeguideandvideolaryngoscopeinapediatricpatientwithfacialburnsacasereport
AT masatokozumi oraltonasalendotrachealtubeexchangeusingtrachealtubeguideandvideolaryngoscopeinapediatricpatientwithfacialburnsacasereport
AT yuyakinoshita oraltonasalendotrachealtubeexchangeusingtrachealtubeguideandvideolaryngoscopeinapediatricpatientwithfacialburnsacasereport
AT yuichiromuto oraltonasalendotrachealtubeexchangeusingtrachealtubeguideandvideolaryngoscopeinapediatricpatientwithfacialburnsacasereport
AT katsukihirai oraltonasalendotrachealtubeexchangeusingtrachealtubeguideandvideolaryngoscopeinapediatricpatientwithfacialburnsacasereport
AT yuichiroyoshino oraltonasalendotrachealtubeexchangeusingtrachealtubeguideandvideolaryngoscopeinapediatricpatientwithfacialburnsacasereport