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Translaryngeal Retrograde Wire-guided Fiberoptic Intubation for Difficult Airway: A Case Report

845

Waraporn Chau-In, MD*,
Suthida Pongmetha, MD*, Krisna Sumret*,
Patravoot Vatanasapt, MD**, Waranyoo Khongkankong***

* Departments of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen
** Departments of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen
*** Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University, Khon Kaen

Abstract


The authors describe the special tracheal intubation technique used in two patients with a difficult airway. These are the translaryngeal retrograde wire-guided and fiberoptic intubation. The authors show how to use both to facilitate intubation. The authors modified the technique by passing a guide-wire in a retrograde manner from the trachea to the nose and then a fiberoptic laryngoscope within the endotracheal tube over the wire. The technique can be applied for use in any difficult airway situation.

Keyword : Intubation technique, Difficult airway, Retrograde wire-guided, Fiberoptic



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