Evaluation of retrograde intubation in patients with limited mouth opening

Tüfek, Adnan; Ucan, Musa Can; Tokgöz, Orhan; Çelik, Feyzi; Ağaçayak, Serkan

doi:10.1007/s00540-013-1569-9

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…Fibre-optic-assisted nasotracheal intubation is the technique of choice for difficult airway management in people [ 29 ]. However, the cost of the equipment and the required skills and expertise necessary for its use makes the RI technique preferable in veterinary medicine [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report

et al. 2018

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BackgroundOrotracheal intubation in dogs is a common and easily-performed procedure that provides a patent airway during anaesthesia. In dogs with temporomandibular joint ankylosis or pseudo-ankylosis, airway management can be a challenging procedure since these dogs have a limited ability to open their mouth. Methods to provide safe, uneventful intubation in such patients may include minimally invasive techniques such as retrograde intubation using a guide wire and fibre-optic-aided laryngoscopy.Case presentationWe report a case of a 16-month-old, intact female Bull Terrier weighing 17 kg, admitted to the hospital for surgical treatment of bilateral ankylosis of the temporomandibular joint. Intubation was achieved, without direct observation of the larynx, by retrograde intubation using a vascular access catheter and a vascular wire guide through cricothyroid membrane. Bilateral condylectomy was performed and the dog recovered uneventfully.ConclusionsIn conclusion, retrograde intubation was relatively simple to perform with the guide wire technique and no specific training or equipment were necessary.

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Section: Discussionmentioning

confidence: 99%

Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report

et al. 2018

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“…They concluded that retrograde intubation can be taught easily with a mannequin. Tüfek et al 8 stated that retrograde intubation is a simple quick procedure when performed by experienced practitioners. Some authors affirm that in the hands of those retrograde intubation is incontestable in specific situations such as blood and secretions in the airway 13,21,22 , trismus 9,23 , congenital anomalies [9][10][11] , limited mouth opening 8 , and bone and joint disorders such as rheumatoid arthritis, ankylosing spondylitis 7 , airway tumours 21,22 or failed intubation with the direct laryngoscopic technique 22,24 .…”

Section: Discussionmentioning

confidence: 99%

“…One advantage of the retrograde technique is that unlike most intubation techniques, it can be accomplished without requiring visible airway landmarks 14 . The advantages of retrograde intubation over fibre optic bronchoscope-guided intubation include its applicability when blood and secretions are present in the upper airway 8 , shorter procedural duration and a lower risk of subglottic oedema and stenosis 25 . Retrograde intubation is less invasive than needle cricothyrotomy and surgical cricothyrotomy, and if the intubation or ventilation scenarios are not possible, it can achieve the primary to come out through the proximal end of the working channel.…”

Section: Discussionmentioning

confidence: 99%

“…It has been used in conscious, sedated or apnoeic patients [3][4][5] . It has been performed in the supine, prone and sitting positions 6 and has been used successfully in both adults 7,8 and the paediatric population 9-11 as young as 4 months old. There is also a report about the successful placement of a doublelumen endotracheal tube using the retrograde intubation technique to perform an approach to a lesion in the right lung 12 .…”

Section: Introductionmentioning

confidence: 99%

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Retrograde intubation: An old new technique

Vieira¹,

Lages²,

Dias³

et al. 2013

OA Anaesthetics

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Introduction In the last decade, a new boom of scientific articles about retrograde intubation has been published. Case reports, applications, technique variations and comparison with other techniques reintroduce the scientific discussion of the technique, its indications, contraindications, complications and technical advances. Despite the complications and contraindications linked to retrograde intubation, its utility is incontestable in specific situations. Although the success rate of retrograde intubation is variable, some authors affirm that in the hands of those who use the technique frequently, retrograde intubation appears to have a high success rate. We believe that training in retrograde intubation would definitely be an advance that could increase the success rate of the technique as well as decrease the complications associated with it. Conclusion Recent developments are happening to enhance the retrograde intubation technique, such as the combination with laryngeal nerve block, fibre optic bronchoscopy and ultrasound guidance. During the booming phase of advances in airway management technologies, anaesthesiologists should sometimes return to the basics and learn and practice simple techniques like retrograde intubation that can save patient lives.

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“…Retrograde intubation can be used even when blood and secretions are present in the upper airway where fibreoptic bronchoscope has limited use 14 . Besides it has shorter procedural duration and a lower risk of subglottic oedema and stenosis than fibreoptic bronchoscope 15 .…”

mentioning

confidence: 99%

Retrograde intubation in a case of cancrum oris with sygnathia

et al. 2017

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Difficult intubating conditions, anticipated or unanticipated, are part of every anaesthesist's life. A large number of aids and various techniques have been described for intubating in such situations. The primary job of the anesthesiologist is to secure the airway and provide adequate ventilation to the anesthetised patient. Failure to manage difficult airway has led to many of the total deaths attributable to anesthesia. Proper airway examination and selection of appropriate method for airway intervention is of utmost importance. The retrograde intubation technique is one of the valuable alternative options in places where fiberoptic bronchoscope is not readily available or affordable in cases with anticipated difficult airway. We report a case of cancrum oris with sygnathia (fusion of jaw) leading to inability to open mouth posted for bilateral coronoidectomy with osteotomy of fused bone and lip repair. An awake retrograde nasal intubation with light sedation and local block was performed.

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Evaluation of retrograde intubation in patients with limited mouth opening

Cited by 4 publications

References 5 publications

Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report

Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report

Retrograde intubation: An old new technique

Retrograde intubation in a case of cancrum oris with sygnathia

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