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Retrograde intubation

A. Pearce-2005-01-06-Cambridge University Press eBooks
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TL;DRAbstract

Retrograde intubation is a misnomer since intubation is undertaken in the normal direction over a guide-passed retrogradely. The first description by Butler and Cirillo was of a catheter passed through a healing tracheostomy, up between the vocal cords and out of the mouth, over which a tracheal tube was railroaded. The first author to describe puncture of the intact cricothyroid membrane (CTM) was Waters (1963), then working in Africa. His method was to use a Tuohy needle to puncture the CTM, feed up ‘a yard’ of plastic tubing similar to an epidural catheter until it exited the mouth and intubate over the catheter.

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Retrograde intubation is a misnomer since intubation is undertaken in the normal direction over a guide-passed retrogradely. The first description by Butler and Cirillo was of a catheter passed through a healing tracheostomy, up between the vocal cords and out of the mouth, over which a tracheal tube was railroaded. The first author to describe puncture of the intact cricothyroid membrane (CTM) was Waters (1963), then working in Africa. His method was to use a Tuohy needle to puncture the CTM, feed up ‘a yard’ of plastic tubing similar to an epidural catheter until it exited the mouth and intubate over the catheter.

Keywords

Tuohy needleMedicineIntubationCatheterSurgeryForamenStyletAnesthesia

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