Fibreoptic-aided retrograde intubation: Is it useful to combine two techniques?

Varshney, Preeti Goyal; Kachru, Nisha

doi:10.4103/0019-5049.89908

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…4 Although there are some known complications 5 like airway trauma, bleeding from nose/cricothyrotomy site, subcutaneous emphysema, infections and even variable success rates among practitioners 6 ; we did not encounter any problem. Recent advances of retrograde intubation and the combined use with fiber optic bronchoscope 7 , or ultrasound guidance 8 have renewed interest in this old technique.…”

Section: Discussionmentioning

confidence: 99%

Retrograde intubation in a patient with neglected cervical spine injury for sacral advancement flap

Sriramka

Pattnaik

2017

Sri Lankan J Anaesthesiol

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Neglected cervical spine injury is a challenging scenario for an anaesthetist. Fixed deformities, altered local anatomy, fear of neurological worsening makes intubation difficult and prevents use of manoeuvers in classical intubation. Advances in equipment like fiberoptic bronchoscope or the video laryngoscope aid in such situations. Retrograde intubation (RI) is a useful alternative with high success rate in safe and experienced personnel. The purpose of the article is to highlight the use of this slowly becoming antique technique which becomes quite handy in difficult airway situations.

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Section: Discussionmentioning

confidence: 99%

Retrograde intubation in a patient with neglected cervical spine injury for sacral advancement flap

Sriramka

Pattnaik

2017

Sri Lankan J Anaesthesiol

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“…A Canadian National Survey demonstrated that older anaesthesiologists had more experience with the retrograde technique and were more comfortable using it 30 . Limited teaching of retrograde intubation is due to two factors: the misperceived, exaggerated invasive nature of the procedure 26,31 and the proximity of the cricothyroid puncture site to the vocal cords 32 . 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.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors bring out the combination of retrograde intubation and fibre optic bronchoscopy 31 . Fibre optic-aided retrograde intubation uses a long guide wire that emerges in the nostril; then the wire is inserted at the distal end of the working channel objective of oxygen delivery to the trachea 26 .…”

Section: Discussionmentioning

confidence: 99%

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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“…While it may never have the popularity of other airway management techniques, it is an useful alternative in some difficult intubation situations where ventilation is secured, such as trauma, upper airway masses, bleeding, secretions or anatomical anomalies. [ 2 ] Recent advances including the combination of retrograde intubation and fiber optic bronchoscopy,[ 3 ] using ultrasound guidance,[ 4 ] and Cook ® Retrograde Intubation Sets have renewed interest in this old technique.…”

mentioning

confidence: 99%