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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Nevertheless, we report for the first time the retrograde submental intubation technique using direct video laryngoscopy.
Very low rates of complications have been reported. The submental route for endo-tracheal intubation. The endotracheal tube was secured and adequate end tidal carbon dioxide curve was observed. Many trials have shown the submental route to be a simple, quick and safe approach to airway management Caubi et intubxcion.
In our case where the patient only presented midface isolated trauma with need of intraoperative intermaxillary fixation, submental intubation was the correct choice for intraoperative airway. Many features make the submental intubation very useful in several clinical retorgrada including craniomaxillofacial trauma, orthognathic surgery and pathology.
Submental intubation versus tracheostomy. 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 false passage to the cranial cavity Jundt retrovrada al.
intubacion retrograda tecnica pdf – PDF Files
Communication between the surgeon and anesthesiologist is extremely important for the safety of the patient and the success of the procedure. 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.
The appropriate reinforced endotracheal 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.
Throat pack was placed. The breathing circuit is briefly disconnected as the tube is externalized and reconnected to the circuit and then secured to the patient Fig.
The Insertion of the wire guide through the cricothyroid membrane helps to rtrograda correctly the endotracheal tube and also counting with the assistance of the direct video laryngoscopy, where the complete mouth intybacion is not necessary. Afterwards the pilot balloon was grasped with the hemostat intubacikn pulled out gently through the passage, then the hemostat was reinserted through the passage to grasp the proximal end of the endotracheal tube to be brought out with controlled rotational movements.
Pasaje Republica de Honduras interior Radiologic examination confirmed the presence of Le Fort II fracture, naso-orbitoethmoid fracture, bilateral zygomaticomaxillary complex fractures and left mandible subcondylar fracture. The anesthesiologist reassures the adequate end tidal carbon dioxide curve and auscultation of the chest for correct position of the tube.
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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.
The connector and breathing system were reattached and the cuff reinflated. Perimortem intracranial orogastric tube in pediatric trauma patient with a basilar skull fracture.
Then using Seldinger technique the malleable wire Spring-Wire Guide: After preoxygenation and intravenous induction of anesthesia, submental region and anterior neck is disinfected and draped as usual sterile fashion. The maxillofacial trauma can cause serious disturbances of the soft and intubscion tissues of the anatomical components of the upper airway and often with little external evidence of deformity Arya et al.
In addition, the surgical anatomy of the technique is detailed described. In such cases a tracheostomy is the indicated procedure. Additional research is necessary to validate new modifications reported in the literature. Mandible border blue lineskin incision yellow linecenter region of geniohyoid and genioglossus muscles red area ; B. San Juan, Puerto Rettograda.
Further clinical examination did not reveal any other traumatic injury. University of Puerto Rico. The patient had suffered trauma to the midface. 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.
There have been several articles in the literature describing and modifying the technique Altemir; Jundt et al.