• Oral Maxillofac Surg · Dec 2014

    Awake endotracheal retrograde intubation in restricted mouth opening: a 'J'-tipped guide wire technique--a retrospective study.

    • Nitin Bhola, Anendd Jadhav, Rajiv Borle, Gaurav Khemka, and Abbas Ali Ajani.
    • Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, Maharastra, 442101, India, drbholanitin@gmail.com.
    • Oral Maxillofac Surg. 2014 Dec 1; 18 (4): 393-6.

    IntroductionAirway management in patient with restricted mouth opening is a great challenge, owing to the difficulty in laryngoscopy and visualisation of the vocal cords during the procedure of intubation. The term retrograde intubation refers to a technique in which a guide wire is passed into the trachea and then into the mouth or nose. A tracheal tube is then passed down over the guide until it enters the trachea.Material And MethodA retrospective audit was undertaken to determine the success and complication associated with retrograde intubation.ResultsThe results show that in a sample of 20 patients in which retrograde intubation was done, only three developed sore throat and cough, one had bronchospasm and one developed infection at the site of insertion of a J-tipped catheter.ConclusionRetrograde tracheal intubation was easy to perform and had a high success rate and a low incidence of complications.

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