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27 Feb 2015 Chapter 20 Retrograde Intubation Techniques. Antonio Sanchez. I. History. II. Indications. III. Contraindications. A. Unfavorable Anatomy. B. Laryngotracheal Disease The epidural catheter was then used as a stylet to guide the ETT through the nares and into the trachea. Over the ensuing years, RI did not
Insert the exploring needle of the retrograde intubation kit perpendicularly into the trachea just below the cricoid cartilage and aspirate for air, confirming tracheal puncture. This needle has a stylet to prevent it being plugged with cartilage. Angle the needle craniad. Inject a few mL of 2% lidocaine into the trachea to allow the
directed cephalad and is used to help guide an ETT into the trachea. Although infre- quently used, retrograde intubation can be an extremely useful tool in the anesthesiolo- gist's armamentarium for managing dif fi cult airways, and it has been used successfully in many clinical situations. Common indications for the
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
Retrograde Intubation. Monday, December 02, 2013. By Katie Normand, MD Retrograde Intubation (RI) remains an important tool for the anesthesiologist in obtaining a secure airway when conventional methods fail. In the 2013 ASA Difficult Airway Algorithm, it is listed as a possible technique in the situation in which
A less common indication includes retrograde intubation of a difficult airway in a patient being ventilated with a laryngeal mask airway. This indication exists . Finally, another version uses a lighted stylet attached to the endotracheal tube.14 The lighted stylet acts as a guide to indicate the tube's location. When the tip of the
While waiting for the surgeon, because the patient was already anaesthetized, we could attempt an emergency retrograde intubation. Cricothyriod membrane puncture was performed with a 16 G needle and a guide wire used in central venous cannulation was advanced cephalad through the needle, the larynx and out of
13 Mar 2009 Digital intubation is indicated in the deeply comatose patient whose larynx cannot be visualized and who has a contraindication to nasotracheal intubation. .. At that point, with a endotracheal tube mounted on a lubricated fiberoptic scope, the long guide wire is passed retrograde up through the end of the
'J' tipped guide wire [14, 46]. Ureteral stent [29]. Nylon cord, surgical suture material [6, 10, 36]. The Minitrach (Non Seldinger kit, Smith Medical International,. Watford, UK) dilator [47, 48]. Table 1 Range of clinical indications for retrograde intubation. Anticipated difficult intubation. To bypass existing tracheostomy for better
Improvising the tube guide resulted in a significant rise in the number of successful intubations through a modified retrograde intubation technique, with no side effects. This should encourage the use of retrograde intubation technique as a first option for difficult airway management. Keywords: Carcinoma buccal mucosa,
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