Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

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

José R. Soberón, Taran Sangari, Jessica Ching, Felipe Urdaneta

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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.


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

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