| Abstrakt: |
Retrograde intubation (RI) is an approach to secure the airway in case of a difficult intubation. Conventionally, this technique involves placing a guide wire through the cricothyroid membrane into the tracheal lumen, and then advancing an endotracheal tube over the wire towards the glottis. Despite being a relatively safe technique, it has not gained widespread acceptance, as other methods of intubation such as awake fibreoptic intubation, videolaryngoscopy and supraglottic airways have taken precedence over it. However, in certain circumstances, such as in situations, where other methods of intubation are not available or feasible, RI can play a vital role in securing the airway. Given the potential benefits of the RI technique, it is crucial to re-evaluate its significance as a rescue approach for difficult airways. Academic institutions should consider including RI in their airway management curriculum to equip healthcare providers with a versatile set of skills and techniques for managing difficult airway situations. This approach can potentially save lives as it is a reliable and safe alternative technique to other conventional methods of intubation. Here, we provide a case report of a patient who underwent RI for an operable case of carcinoma buccal mucosa with flap coverage and plates in situ when our primary method of intubation, i.e. fibreoptic, malfunctioned. [ABSTRACT FROM AUTHOR] |
