A 3-year-old girl suffering from Stevens-Johnsons Syndrome with severe sloughing of the oropharyngeal mucosa was brought to the operating room for an emergent tracheostomy after multiple failed attempts to intubate the trachea in the pediatric intensive care unit. However, a retrograde tracheal intubation was successfully performed in the operating room to secure her airway, after which a tracheostomy was performed. Retrograde intubation can be a quick and effective method for securing the difficult airway.
From the Department of Anesthesiology, Lehigh Valley Health Network, Allentown, Pennsylvania.
Accepted for publication June 11, 2013.
The author declares no conflicts of interest.
Address correspondence to Michael He, MD, Department of Anesthesiology, Lehigh Valley Health Network, 1245 S. Cedar Crest Blvd., Suite 301, Allentown, PA 18103. Address e-mail to firstname.lastname@example.org.