• J Emerg Med · Dec 2015

    Case Reports

    Retrograde Intubation with an Extraglottic Device in Place.

    • James R Miner, John Rubin, Jacob Clark, and Robert F Reardon.
    • Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
    • J Emerg Med. 2015 Dec 1; 49 (6): 864-7.

    BackgroundThe intubating laryngeal mask airway (ILMA) is an extraglottic device with a high rate of successful ventilation and oxygenation. Most modern airway algorithms suggest using an extraglottic device as the first-line rescue technique for a failed airway in emergency airway management. Eventually, a more secure airway is needed if the extraglottic temporizing device is working well. Retrograde intubation is a surgical airway management technique that is effective but relatively slow, making it most useful when ventilation can be maintained during the procedure.Case ReportWe report 2 cases of difficult emergency airway management with an ILMA used initially and retrograde intubation later used to establish a more secure airway. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Retrograde incubation can be performed with an LMA in place for complicated airway management.Copyright © 2015 Elsevier Inc. All rights reserved.

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