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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Reinforced endotracheal tube fixed to skin. In choosing a potential modification, the surgeon should inform the anesthesiologist of their intended sequence. The original surgical procedure consists in the externalization of the endotracheal tube retrlgrada the mouth through the floor of the mouth and the submental triangle.
Guide wire insertion through cricothyroid membrane; B. Several airway management techniques have been described, including: In addition, the surgical anatomy of the technique is described in detail. Many trials have shown the submental route to be a simple, quick and safe approach to airway management Caubi et al.
Then using Seldinger technique the malleable wire Spring-Wire Guide: A closed Kelly hemostatic forceps was introduced through the incision until the tip of the hemostat 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.
In comparing submental intubation and tracheostomy, submental intubation has no significant reported major complications Jundt et al. The breathing circuit is briefly disconnected as the tube is externalized and inubacion to the circuit and then secured to the patient Fig.
Iintubacion Note and Case Report. Further clinical examination did not reveal any other traumatic injury. The management of a difficult airway is one of the biggest challenges of perioperative anesthesia management.
Very low rates of complications have been reported. The anesthesiologist reassures the adequate end tidal carbon dioxide curve and auscultation of the chest for correct position of the tube.
Communication between the surgeon and anesthesiologist is extremely important for the safety of the patient and the success of the procedure. There have been several articles in the literature describing and modifying the technique Altemir; Jundt et al.
On initial evaluation the patient was in non-acute distress, alert, awake and oriented, with a Glascow intbuacion score of Submental intubation combines the advantages of nasotracheal intubation, which allows the mobilization of the getrograda occlusion, and those of orotracheal intubation, which allows access to naso-orbito-ethmoidal fractures Caubi et al. We described 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.
Pasaje Republica de Honduras interior It was decided to use retrograde intubation technique in the present case due to the restricted mouth opening, and the difficulty to maintain a clear airway with the submandibular incision bleeding or other invasive manipulation. Endotracheal tube in position fixed to skin.
Rretrograda, adequate mouth opening is a prerequisite for the technique. The submental intubation is a procedure that was reported to avoid tracheostomy and allow for the concomitant restoration of occlusion and reduction of facial fractures in patients with craniomaxillofacial trauma ineligibles for nasotracheal intubation. The submental intubation is a procedure that was reported to avoid tracheostomy and allow for the concomitant restoration of occlusion and reduction of facial fractures in patients with craniomaxillofacial trauma, ineligible for nasotracheal intubation due to the potential risk of creating a retrofrada passage to the cranial cavity Jundt et al.
Intubación retrograda modificada
Mandible border blue lineskin incision yellow linecenter region of geniohyoid and genioglossus muscles red area ; B. There was midface mobility, malocclusion and mouth opening was restricted.
Examination of the intubaciln revealed periorbital and nasal swelling, traumatic telecanthus, nasal deformity, epistaxis and bilateral subconjuntival hemorrhage. Since the first application of this technique, less than thirty years ago, many authors have studied the clinical use of this procedure.
Extraorally the wound was sutured and the patient was extubated without complications. At the end of the surgery the tube was disconnected, pulled back into the oral cavity and reconnected.
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After preoxygenation and intravenous induction of anesthesia, submental region and anterior neck is disinfected and draped as usual kntubacion fashion. 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. 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.