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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