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BJA Advance Access published online on April 30, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh146
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted December 12, 2003

Case Report

Retrieval of a retrograde catheter using suction, in patients who cannot open their mouths

P. Bhattacharya 1, B. K. Biswas 1*, S. Baniwal 2

1 Department of Anesthesiology and Critical Care, B.P. Koirala Institute of Health Sciences, Dharan-18, Nepal
2 Department of Oral and Maxillofacial Surgery, B.P. Koirala Institute of Health Sciences, Dharan-18, Nepal

* To whom correspondence should be addressed. E-mail: binsaiims{at}sify.com.


  Abstract

In difficulty, tracheal intubation can be facilitated by passing a retrograde catheter, but the mouth has to be opened for the retrieval of the catheter from the pharynx. Two patients with ankylosis of a temporomandibular joint were unable to open their mouth, and required general anaesthesia for gap arthroplasty. Because we did not have a flexible fibreoptic laryngoscope, we used a suction catheter to retrieve an epidural catheter from the pharyngeal cavity, which had been passed retrogradely from a cricothyroid puncture. Catheter-guided tracheal intubation was done without complication. A suction catheter can assist retrograde retrieval of a catheter to aid intubation in patients who cannot open the mouth.

Keywords: Keywords: airway, naso-pharyngeal; equipment, catheters suction; intubation, retrograde


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B. K. Biswas, P. Bhattacharyya, S. Joshi, U. R. Tuladhar, and S. Baniwal
Fluoroscope-aided retrograde placement of guide wire for tracheal intubation in patients with limited mouth opening
Br. J. Anaesth., January 1, 2005; 94(1): 128 - 131.
[Abstract] [Full Text] [PDF]


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