Korean J Anesthesiol.  1987 Dec;20(6):853-857. 10.4097/kjae.1987.20.6.853.

Retrograde Endotracheal Intubation Using Epidural Catheter

• Lee IB
• Kim HY
• Lee DK

• KMID: 2090507
• DOI: http://doi.org/10.4097/kjae.1987.20.6.853

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.

MeSH Terms

Catheters*
Congenital Abnormalities
Cricoid Cartilage
Humans
Intubation
Intubation, Intratracheal*
Jaw
Larynx
Mouth
Needles
Nose
Surgical Instruments
Trachea
Vocal Cords