Managing respiratory complications in Stevens‐Johnson Syndrome and Toxic Epidermal Necrolysis. (8th September 2021)

• Record Type: Journal Article
• Authors: Lee, Ken Cheah Hooi; Ko, Joanna Phone; Oh, Choon Chiat; Sewa, Duu Wen
• Is Part Of: International journal of dermatology. Volume 61:Number 6(2022)
• Page Start: 660
• Page End: 666
• Publication Date: 2021-09-08
• Subjects: Dermatology -- Periodicals; 616.5
• DOI: 10.1111/ijd.15888
• Languages: English
• ISSNs: 0011-9059

Abstract

Abstract: In the recently published guidelines by the Society of Dermatology Hospitalists on the management of Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), a brief section was included on airway management. These recommendations provide an easy reference on how to manage respiratory complications of the disease. Understanding the evidence that underlies these recommendations would offer physicians greater clarity on the considerations behind every decision and treatment offered. We present a review of the literature on respiratory manifestations associated with SJS and TEN. In addition, we aim to address specific concerns regarding the respiratory management of these patients. These include issues such as the indications and optimal timing of intubation, tracheostomy, role of flexible nasoendoscopy, bronchoscopy, ventilation strategies, and management of chronic respiratory complications.