Document Detail


Airway management of recovered pediatric patients with severe head and neck burns: a review.
MedLine Citation:
PMID:  22260458     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
There are approximately 10 000 pediatric burn survivors in the United States each year, many of whom will present for reconstructive surgery after severe burns in the head and neck (1). These recovered burn victims, who are beyond the acute phase of injury, often have significant scarring and contractures in the face, mouth, nares, neck, and chest, which can make airway management challenging and potentially lead to a 'cannot intubate, cannot ventilate' scenario (2). Although numerous cases have been presented in the literature on this topic (3-17), there are no comprehensive review articles on the unique challenges of airway management in the recovered pediatric burn patient with distorted airway anatomy. This article aims to provide a comprehensive review of airway management in such patients, focusing on challenges encountered during mask ventilation and tracheal intubation, as well as the role of surgical release of neck contractures to facilitate tracheal intubation. Lessons learned from all reported cases identified in a thorough literature search are incorporated into this review.
Authors:
Thomas J Caruso; Luke S Janik; Gennadiy Fuzaylov
Related Documents :
10557008 - Detection of poisoning by impila (callilepis laureola) in a mother and child.
1621358 - Case reports of lead poisoning in dogs from the national animal poison control center a...
21991048 - Severe bullous skin diseases: analysis of seven children managed in a burns unit.
24060838 - A case of mannitol hypersensitivity.
22002878 - Sirenomelia: an epidemiologic study in a large dataset from the international clearingh...
265488 - Central leiomyoma of the mandible.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-19
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  -     ISSN:  1460-9592     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
Department of Anesthesia, Critical Care, and Pain Medicine, Shriners Hospital for Children, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Efficacy of Aliskiren in Japanese Chronic Kidney Disease Patients with Hypertension.
Next Document:  Human immunodeficiency virus type 1 envelope proteins traffic toward virion assembly sites via a TBC...