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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2008 / Cilt: 36 - Sayı: 6

Retrograd intubation applied by a modified knot technique may be a choise for difficult airway management in children

Çocukta zor havayolu yönetiminde açılabilir düğüm yöntemiyle uygulanan retrograd entübasyon

Şebnem ATICI
Davud YAPICI
Çağlar ÇOLAK
Nurcan DORUK
Pages
381–384
Publication Date
2022-11-04
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Retrograde intubation was successfully performed using modified knot technique without any complication.In conclusion we suggest considering retrograde tracheal intubation using modified knot technique to manage difficult airway in pediatric patient.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Retrograde intubation is one of the techniques that used for difficult intubation.
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Key Findings & Data:Cormack-Lehane was assigned to be 4 at direct laryngoscopy.
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Conclusion & Impact:Retrograde intubation was successfully performed using modified knot technique without any complication.In conclusion we suggest considering retrograde tracheal intubation using modified knot technique to manage difficult airway in pediatric patient.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Retrograde intubation is one of the techniques that used for difficult intubation. This technique was modified previously by changing the intervention site and using different instruments. A case of mucopolysaccharidosis with growth retardation and inguinal hernia that was intubated using modified knot technique is presented this paper. Standard tracheal intubation was thought going to be difficult due to anatomic problems on the face and neck of the patient related to underlying disease. The anesthesia team got prepared for difficult intubation. The child was ventilated using bag and mask during induction of anesthesia. Cormack-Lehane was assigned to be 4 at direct laryngoscopy. Laryngeal mask failed to provide adequate ventilation. Tracheal intubation could not be done using fiberoptic bronchoscope either. Retrograde intubation was successfully performed using modified knot technique without any complication.In conclusion we suggest considering retrograde tracheal intubation using modified knot technique to manage difficult airway in pediatric patient.

Özet

Retrograd entübasyon, zor entübasyon için kullanılan yöntemler arasındadır. Bu yöntemin gerek kullanılan araç, gerekse girişim yeri açısından değişik modifikasyonları bulunmaktadır. Mukopolisakkaridoz ve gelişme geriliği tanılarıyla izlenen ve inguinal herni nedeniyle operasyonu planlanan 10 yaşındaki olgumuzda, yüz ve boyun bölgesindeki anatomik sorunları nedeniyle, zor hava yolu yönetimi ile karşılaşılabileceği düşünüldü. Gerekli hazırlıklar tamamlandı. Anestezi indüksiyonunda ventilasyon maske ile sağlandı. Laringoskopi sırasında Cormack-Lehane 4 olarak saptandı. Laringeal maske uygulaması ile yeterli ventilasyon sağlanamadı. Fiberoptik bronkoskopi ile entübasyon gerçekleştirilemedi. Açılabilir düğüm tekniği ile retrograd entübasyon uygulandı. Trakeal entübasyon komplikasyonsuz gerçekleştirildi. Çocukta entübasyonun zor ve/veya teknik donanımın yetersiz olduğu durumlarda, açılabilir düğüm tekniği kullanılarak yapılacak retrograd entübasyonun seçenekler arasında yer alabileceği kanısına varıldı.

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Cite This Article

ATICI, Ş., YAPICI, D., ÇOLAK, Ç., DORUK, N. (2022). Retrograd intubation applied by a modified knot technique may be a choise for difficult airway management in children. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 36 - Sayı: 6, 381–384. https://ajindex.com/articles/620002

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