Retrograde Endotracheal Intubation Using Epidural Catheter.
10.4097/kjae.1987.20.6.853
- Author:
In Bae LEE
1
;
Hong Youl KIM
;
Dong Ki LEE
Author Information
1. Department of Anesthesiology, Seoul Red Cross Hospital, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Catheters*;
Congenital Abnormalities;
Cricoid Cartilage;
Humans;
Intubation;
Intubation, Intratracheal*;
Jaw;
Larynx;
Mouth;
Needles;
Nose;
Surgical Instruments;
Trachea;
Vocal Cords
- From:Korean Journal of Anesthesiology
1987;20(6):853-857
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since in 1963 Waters first described the techniques of guiede blind tracheal intubation to solve the problem of difficult in airway maintenance in patients who have deformity of the upper jaw, several methods are recommended to overcome a difficult intubation. We experienced successful retrograde endotracheal intubation without significant complications as follows. Using loca anethesia, 16G Tuohy needle was passed through the anterior wall of the trachea 1.5 to 2.0 cm below the cricoid cartilage in the midline. The needle was directd upward foward the larynx and the epidural catheter was insertedc through it and advanced retrograde between the vocal cords and into mouth or nose. The endotracheal tube was threaded over the catheter and the proximal end of the catheter was clamps by kelly forceps. By keeping the catheter taut and coincidently pulling back, the tube was adnvanced in to trachea.
