Modified retrograde intubation technique for rapid airway access.
To reverse accidental extubation in the burn patient, a guide-wire can be passed retrograde through the cricothyroid membrane, and a thin tube changer can be placed over the guide-wire and down through the edematous airway and vocal cords. An endotracheal tube can then be passed over the tube changer to rapidly regain airway access.
Hines
M H
MH
Department of Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, North Carolina 27103.
Meredith
J W
JW
D002056:Burns / Q000150:complications; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007819:Laryngeal Edema / Q000150:complications; D014827:Vocal Cords