Volume : VIII, Issue : I, January - 2018

RETROGRADE INTUBATION : THE MENACES OF USING GUIDE WIRE OF CENTRAL LINE.

Dr Sudha Puhal, Dr Sudhir Kumar Bisherwal

Abstract :

 

INTRODUCTION: Retrograde intubation is a very helpful technique in cases of difficult airway with small or no mouth opening. But this can become complicated if we do not correctly choose our aids. We present a case where we went into trouble because of stucking of our guide wire into cricothyroidmemberane and how we managed it.

CASE REPORT: A 14 year old female was posted for gap arthroplasty for Temporo–Mandibular joint ankylosis. Patient was planned for blind intubation failing which retrograde intubation was to be done. Cricothyroid puncture was done and a steel aided guide wire of central line was inserted through 16 guage needle. Endotracheal tube was rail roaded over it and everything was going well till we found that the wire is struck in CTM. It was a fearful moment but we manuvered our wire out from our patient by screwing movements which took us around 20 minutes.

CONCLUSION: retrograde intubation is a very important and useful technique especially in a developing country where flexible fiberoptic scope is not easily available. Our case report highlights the horrific situation which might arise because of use of a aided steel guide wire. We therefore recommend the use of epidural catheter or PCNL guide wire which is more smooth and flexible than a steel wire.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr Sudha Puhal, Dr Sudhir Kumar Bisherwal, RETROGRADE INTUBATION : THE MENACES OF USING GUIDE WIRE OF CENTRAL LINE., INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-1 | January-2018

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