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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Specialty: Anesthesiology, Surgery, general, Pulmonology, Cardiology, Emergency Medicine, Otolaryngology