Resumen

OJEDA GONZALEZ, José Julio. Retrograde modified Intubation. Rev cuba anestesiol reanim [online]. 2014, vol.13, n.1, pp. 84-96. ISSN 1726-6718.

Introduction: some patients due to anatomical reasons or imposed by a disease (facial or cervical traumas) offer difficulties for an easy and expedite tracheal intubation. Therefore, there is a need for searching alternatives for boarding which may assure the air passage as the retrograde intubation whose complexity demands the technical revision. The risk of having to appeal to any complex maneuver for the boarding of the air passage, the intubation may reach 5 % and from 0.0001 % to 0.02 % it is not possible to intubate or ventilate. Objective: to describe the retrograde technique of intubation with a purpose of a clinical case. Method: it was carried out in the operating room of the Central Surgical Unit. The technique was put into practice by using a trocart and a venous catheter, clip of Magill, local anesthetics (lidocaíne 1 % 1ml), endotracheal canula. Sterile material: gloves, swabs, antiseptic solutions. A sequence of explicative images are shown. Results: the images presented reflect the feasibility and security of the applied technique and it allowed the execution of the surgical procedure. The collocation of the guide through the eye of the canula ET facilitated the realization of the technique without provoking evident damages in this anatomical area. Conclusiones: the use of this procedure guaranteed a safe air passage, agile and few traumatic, it may be framed as a special measure to carry out in patients so it has a connotation in our context where we do not have the fiberendoscopic alternative.

Palabras clave : difficult air passage; retrograde intubations.

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