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Anesth Analg 2005;100:534-537
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000142126.86492.7D

CRITICAL CARE AND TRAUMA

Retrograde Submental Intubation by Pharyngeal Loop Technique in a Patient with Faciomaxillary Trauma and Restricted Mouth Opening

Virendra K. Arya, MD*, Arun Kumar, MD*, Surinder S. Makkar, MS, MCh{dagger}, and Ramesh K. Sharma, MS, MCh{dagger}

*Departments of Anaesthesia & Intensive Care and {dagger}Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Address correspondence and reprint requests to Virendra K. Arya, MD, Assistant Professor, Department of Anesthesia & Intensive Care, PGIMER Chandigarh-160012, India. Address e-mail to aryavk_99{at}yahoo.com.

Submental intubation is useful for airway management during maxillofacial surgery when both nasal and orotracheal intubation are deemed unsuitable and to avoid a tracheostomy, especially when long-term ventilatory support is not required in the postoperative period. Adequate mouth opening is a prerequisite for all the techniques described for submental intubation, as the initial step is orotracheal intubation. Hence, this procedure has never been reported in a patient with the inability to open the mouth. We describe the technique of retrograde submental intubation with the help of a pharyngeal loop assembly for the first time in a patient with maxillofacial trauma and restricted mouth opening in whom oral and nasal intubations were not possible and tracheostomy was the only alternative. In this case report, with successful retrograde submental intubation, the potential complications associated with a short-term tracheostomy were avoided, as there was no indication for keeping a tracheostomy during the postoperative period.




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 Anesth. Analg.Home page
P. Saravanan and J. E. Arrowsmith
Retrograde Submental Intubation After Faciomaxillary Trauma
Anesth. Analg., December 1, 2005; 101(6): 1892 - 1893.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
V. K. Arya, A. Kumar, S. S. Makkar, and R. K. Sharma
Retrograde Submental Intubation After Faciomaxillary Trauma
Anesth. Analg., December 1, 2005; 101(6): 1893 - 1894.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.