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KMID : 0374920080290010167
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Inje Medical Journal
2008 Volume.29 No. 1 p.167 ~ p.171
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Endotracheal Intubation using Percutaneous Retrograde Guidewire Insertion followed by Antegrade Fiberoptic Bronchoscopy
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Cho Hyun-Seok
Kim Mun-Cheol
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Abstract
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The use of a retrograde guidewire technique to assist in the management of the difficult airway was first reported in 1981. Since then, modifications of this technique have included the use of the fiberoptic bronchoscope (FOB) to permit tracheal intubation under direct visual control. We report here on the case of a 54-year-old female who was scheduled for an operation for esophageal diverticulectomy and she could not be intubated with double-lumen endotracheal tube. The cause was an esophageal bougie at the oral cavity, which made visualization of the glottis impossible. We perfomed alternative technique by passing a guidewire in a retrograde manner from the trachea to the mouth and then passing a fiberoptic bronchoscope within an endotracheal tube over the wire. No further complication occurred and surgery was finished satisfactory.
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KEYWORD
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Retrograde, Guidewire, Fiberoptic bronchoscope
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