Anesth Pain Med.  2010 Jan;5(1):95-97.

Kinked J-tip guidewire within the tracheal lumen during retrograde intubation: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kmshin1@yahoo.co.kr
  • 2Department of Pharmacology, Kangwon National University College of Medicine, Chuncheon, Korea.

Abstract

Retrograde intubation is an alternative option for gaining airway access for patients with a difficult airway.We report a successful management of a kinked J-tip guidewire within a tracheal lumen with flexible fiberoptic laryngoscope in a patient with type II odontoid fracture.It is helpful to adjusting the depth of angiocatheter and handling of J-tip guidewire if J-tip guidewire does not come out into the oral cavity at the expected length during retrograde intubation.

Keyword

Difficult airway; Flexible fiberoptic laryngoscope; J-tip guidewire; Retrograde intubation

MeSH Terms

Handling (Psychology)
Humans
Intubation
Laryngoscopes
Mouth
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