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
http://dx.doi.org/10.1016/j.bjane.2021.03.012
Braz J Anesthesiol, Ahead of Print, 2021
Abstract
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.
Keywords
Noninvasive ventilation,
Continuous positive airway pressure,
Deep sedation,
Intubation, intratracheal,
Burns,
Pediatrics