Retrograde Intubation Technique Used Epidural Catheter; 3 Cases

Yoo, Hee Koo

Abstract

Sometimes, anesthesiologist may have get a chance as if he can not intubate with ordinary direct laryngoscopy. At that time he must decided that intubation technique will try to again or not. If we have a decision as we will try to continue for intubation and we can not use any other intubation technique, we can have a decision to use retrograde intubation technique so as to intubate in trachea instead of direct laryngoscopy. If patient have much secretion, blood clot and laryngeal edema after had many times of direct laryngoscopy, fiberoptic bronchoscopy will be impossible. Since Buttler and Cirillo on 1960, retrograde intubation technique was improved markedly. Especially, most important improved point about this technique is that what things are used for guide wire. Recently, most of authors have been used for guide wire as CVP catheter, Swan-Ganz introducer wire or epidural catheter. But I used to epidural catheter for guide wire and patients have not any complication with this retrograde intubation technique. Finally, we concluded that retrograde intubation technique is one of good intubation technique and can do without any complicaions.