Request PDF on ResearchGate | On Jan 1, , Teresa López Correa and others published Intubación retrógrada. Acceso quirúrgico a la vía aérea. May 18, ·. INTUBACIÓN RETROGRADA. Views. 8 Likes15 Shares · Share. English (US) · Español · Português (Brasil) · Français (France) · Deutsch. intubacion retrograda tecnica pdf. Quote. Postby Just» Tue Aug 28, am. Looking for intubacion retrograda tecnica pdf. Will be grateful for any help!.

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On initial evaluation the patient was in non-acute distress, alert, awake and oriented, with a Glascow coma score of Technical Note intubacionn Case Report.

Alba Bombarelli

Intracranial intubacoon of nasopharyngeal airway. The endotracheal tube was disconnected from the breathing circuit and the connector removed the anesthesiologist stabilized at this moment the endotracheal tube with Magill’s forceps to avoid extubation.

Since the first application of this jntubacion, less than thirty years ago, many authors have studied the clinical use of this procedure. Additional research is necessary to validate new modifications reported in the literature. Extraorally the wound was sutured and the patient was extubated without complications.

Reinforced endotracheal tube fixed to skin. There was midface mobility, malocclusion and mouth opening was restricted.


After preoxygenation and intravenous induction of anesthesia, submental region and anterior neck is retroyrada and draped as usual sterile fashion. The main objective of this study is to describe a modification of the original technique by performing a retrograde submental intubation assisted by direct laryngoscope video in a maxillofacial trauma patient with restricted mouth opening.

At the end of the surgery the tube was disconnected, pulled back into the oral cavity and reconnected. Pasaje Republica de Honduras interior The Insertion of the wire guide through the cricothyroid membrane helps to place rrtrograda the endotracheal tube and also counting with the assistance of the direct video laryngoscopy, where the complete mouth opening is not necessary.


intubacion retrograda tecnica pdf

Communication between the surgeon and anesthesiologist is extremely important for the safety of the patient and the success of the procedure. This technique was first described in by Francisco Hernandez Altemir and since its first description 10 articles have been published outlining modifications to the original technique primarily aimed at reducing complications Altemir, ; Jundt et al.

The appropriate reinforced intubacin tube size was passed which connector was previously removed through with the malleable wire as guidance, when the distal end of the endotracheal tube meets the resistance at the level of the cricothyroid membrane against the wirethe wire was cut at the puncture site and the endotracheal tube passed, the remaining wire removed through the tube. Mandible border blue lineskin incision yellow linecenter region of retrogrrada and genioglossus muscles red area ; B.

San Juan, Puerto Rico. Further clinical examination did not reveal any other traumatic injury. Submental intubation versus tracheostomy. Examination of the face revealed periorbital and nasal swelling, traumatic telecanthus, nasal deformity, epistaxis and bilateral subconjuntival hemorrhage. Guide wire red dotted line passed through larynx to oral cavity; B. A closed Kelly hemostatic forceps was introduced through the incision retgograda the tip of the kntubacion tented the mucosa of the floor of the mouth staying close to the lingual surface of mandible and lateral to the sublingual caruncle to avoid injury to the submandibular duct and lingual nerve.

The tented oral mucosa was incised to make a small opening and untubacion blades of the hemostat were opened to allow the entrance of the reinforced endotraqueal tube. The endotracheal tubes now lies on the floor of the mouth between the tongue and the mandible. Retrograde submental intubation by pharyngeal loop technique in a patient with faciomaxillary trauma and restricted mouth opening.


In conclusion, submental intubation is a safe and effective technique rettograda establishing a secure inhubacion in patients requiring facial reconstructive surgery where traditional oral and nasotracheal intubation are contraindicated. The mortality rate of tracheostomy has been reported to range from 0. In comparing submental intubation and tracheostomy, submental intubation has no significant reported major complications Jundt et al.

Intubaion patient had suffered trauma to the midface. The management of a difficult airway is one of the biggest challenges of perioperative anesthesia management.

The maxillofacial trauma can cause serious disturbances of the soft and hard tissues of the anatomical components of the upper airway and often with little external evidence of deformity Arya et al.

Radiologic examination confirmed the presence of Le Fort II fracture, naso-orbitoethmoid fracture, bilateral zygomaticomaxillary complex fractures and left mandible subcondylar fracture. The open reduction and internal fixation of the facial fractures could then be imtubacion as planned and the occlusion checked with intermaxillary fixation.

Submental intubation in oral maxillofacial surgery: The limitation of this technique is for patients who also present a neurological deficit or thoracic trauma and need more than 7 days of postoperative ventilator support Jundt et al. In addition, the surgical anatomy of the technique is described in detail.