Kinked J-tip guidewire within the tracheal lumen during retrograde intubation: A case report

Kang, Sang Soo; Jung, Sang Moon; Kim, Il Seok; Yoon, Young Jun; Shin, Keun Man

Case Report

General Article

Anesthesia and Pain Medicine 2010;5(1):95-97.
Published online January 30, 2010.

Kinked J-tip guidewire within the tracheal lumen during retrograde intubation: A case report

Sang Soo Kang, Sang Moon Jung, Il Seok Kim, Young Jun Yoon, Keun Man Shin

¹Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kmshin1@yahoo.co.kr
²Department of Pharmacology, Kangwon National University College of Medicine, Chuncheon, Korea.

Abstract

Retrograde intubation is an alternative option for gaining airway access for patients with a difficult airway.We report a successful management of a kinked J-tip guidewire within a tracheal lumen with flexible fiberoptic laryngoscope in a patient with type II odontoid fracture.It is helpful to adjusting the depth of angiocatheter and handling of J-tip guidewire if J-tip guidewire does not come out into the oral cavity at the expected length during retrograde intubation.

Key Words: Difficult airway, Flexible fiberoptic laryngoscope, J-tip guidewire, Retrograde intubation