Retrograde and Antegrade Intubation: Improvisation of Conventional Technique of Retrograde Intubation in Indian Scenario

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dc.contributor.authorMahajan, Rajeshen_US
dc.date.accessioned2020-10-16T09:00:51Z
dc.date.available2020-10-16T09:00:51Z
dc.date.issued2019-10
dc.description.abstractTo have a definite airway is must in case of intraoral bleeds or long surgeries. Highest challenge of difficultintubation is when mouth opening is nil or it is impossible to relax the jaw even after administration of musclerelaxants. In this study conventional retrograde intubation technique was compared and evaluated with improvisedretrograde and antegrade intubation for securing airway in difficult intubation cases on the basis of efficacyand complication rate. Patients were randomized into two groups of 10 each. They were prepared for awakenasal intubation and were kept NPO overnight with the procedure explained beforehand. Premedication donewith injection glycopyrrolate 0.04 mg/kg IV and injection midazolam 0.03 mg/kg IV. In operation theatrestandard monitoring was done. Induction and maintenance of anaesthesia was done as per routine protocol.Independent observer recorded the time required for securing the ETT from cricothyroid puncture to theconfirmation of tube placement, number of attempts required, any desaturation during the procedure andhaemodynamic changes. Postoperatively assessment was done two hours later for hoarseness of voice, painin throat, coughing, subcutaneous emphysema, assessment for any cartilage injury and/ or local haematomaby an ENT surgeon. During the study, it has been seen that the retrograde and antegrade intubations might bemore efficacious with lower complication rates. Hence this modified technique with improvisation ofconventional technique can be recommended for regular use in Indian scenario.en_US
dc.identifier.affiliationsDeptt. of Anaesthesiology and Critical care, Chintpurni Medical College and Hospital, Bungal (Punjab).en_US
dc.identifier.citationMahajan Rajesh. Retrograde and Antegrade Intubation: Improvisation of Conventional Technique of Retrograde Intubation in Indian Scenario. JK Science Journal of Medical Education and Research. 2019 Oct; 2019 Oct: 177-180en_US
dc.identifier.issn0972-1177
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/210990
dc.languageenen_US
dc.publisherJK Scienceen_US
dc.relation.issuenumber4en_US
dc.relation.volume21en_US
dc.source.urihttps://www.jkscience.org/archives/volume2020/8-%20OriginalArticle%20177Rajesh.pdfen_US
dc.subjectDifficult intubationen_US
dc.subjectRetrograde intubationen_US
dc.subjectAntegrade intubation.en_US
dc.titleRetrograde and Antegrade Intubation: Improvisation of Conventional Technique of Retrograde Intubation in Indian Scenarioen_US
dc.typeJournal Articleen_US
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