Briseño MC

Language: Spanish
References: 7
Page: 179-181
PDF size: 64.51 Kb.

ABSTRACT

Objective: Describe a difficult intubation case that was resolved with retrograde tracheal intubation, method described in 1960. This method is part of the algorithm of different anesthesiologists´ societies, and is fast and efficient in experimented hands. Case report: 24 year old female patient scheduled for orthognatic surgery, reintervened for bleeding, that needs for the second surgery retrograde intubation for difficult intubation, with total bleeding of 900 cc, staying 48 hours at the intensive care unit and being released after 72 hours in the hospital. Conclusion: Retrograde tracheal intubation is another alternative for the anesthesiologist. It is part of the ASA algorithm for management of the difficult airway and the proper equipment to do it should be in all the airway management carts.

REFERENCES

1. American Society of Anesthesiologists Task Force on Difficult Airway Management. Practice guidelines for management of the difficult airway. Anesthesiology 2003; 98: 1269-1277.

2. Butler FS, Cirillo AA. Retrograde tracheal intubation. Anesth Analg 1960; 39: 333-338.

3. Water DJ. Guided blind endotracheal intubation: For patients with deformities of the upper airway. Anaesthesia 1963; 18: 158-162.

4. Bhattacharya P, Biswas BK, Raniwal S. Retrieval of a retrograde catheter using suction, in patients who cannot open their mouths. Br J Anaesth 2004; 92: 888-901.

5. Sánchez A, Pallares V. Retrograde intubation technique. Airway management: Principles and practice. Benumof J. London: Mosby; 1996: 320-341.

6. Akinyemi OO. Complications of guided blind endotracheal intubation. Anesthesia 1979; 34: 590-592.

7. Lenfant F, Benkhadra M, Trouilloud P, Freysz M. Comparison of two techniques for retrograde tracheal intubation in human fresh cadavers. Anesthesiology 2006; 104: 48-51.