Indications of Williams et al for Intubation and Early Tracheostomy for a Patient with Stevens Johnson Syndome (SJS) and Toxic Epidermal Necrolysis (TEN)
Williams et al identified patients with Stevens Johnson Syndrome (SJS) or Toxic Epidermal Necrolysis (TEN) who may require intubation and early tracheostomy. The authors are from Emory University.
Patient selection: SJS or TEN
Outcome: intubation and early tracheostomy
Indications for intubation and early tracheostomy - both of the following:
(1) oral mucositis/involvement due to SJS or TEN
(2) one or more of the following:
(2a) percent total body surface area involved initially >= 70%
(2b) progression in involvement (percent TBSA on day 3 minus percent TBSA on day 1 >= 15%)
(2c) underlying neurologic disease that prevents airway protection
(2d) airway involvement on direct laryngoscopy
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