Alternative technique of intubation retromolar, retrograde, submental and other technique. TECHNIQUE OF SUBMENTAL INTUBATIONUnder sterile painting and draping of chin and mouth, 2 ml of 2xylocaine with adrenaline infiltration and a small 1. 5 cm transverseskin crease incision should be made in the medial region ofsubmental area, retrograde submental intubation The postoperative picture of the patient shows improvement in the nasal profile that could only be achieved as a result of free surgical access to nose and the whole of the face with submental intubation.
Introduction. Retrograde intubation is recognised as a useful technique in airway management, which is included in the difficult airway algorithm of the American Society of Anesthesiologists [16 in 1993 and maintained in the review of this algorithm 10 years later in 2003 [17. retrograde submental intubation
Submental intubation is a simple, safe, quick, and relatively harmless alternative to tracheostomy for securing the airway in selected patients with craniofacial trauma. Retrograde intubation is a reliable and easily learned technique that offers an alternative to more invasive surgical solutions for securing the airway. The advantage of retrograde intubation is that it can be used in adult or pediatric patients who are whether awake, sedated, or obtunded. The submental intubation. Care of the intraoral wound is done by maintenance of oral hygiene using 0. 12 chlorhexidine mouth wash six hourly. The broad spectrum antibiotics are continued postoperatively. [ 26 In case of wound infection or suppuration, cutting one retrograde submental intubation How can the answer be improved? Retrograde and Submental Intubation Direct laryngoscopy remains the technique of choice for placing an endotracheal tube (ETT). However, alternative techniques are needed for the difficult airway or unsuccessful intubation. DISCUSSION. It is a versatile technique which allows intubation of patients in the presence of polytrauma and allows maxillamandibular fixation along with simultaneous access to nasal pyramid fractures. The submental intubation technique apart from securing airway provides an unobstructed intraoral surgical field, RETROGRADE AND SUBMENTAL INTUBATION 63. will be seen in the syringe (see Fig. 2). The syringe is removed, maintaining the needle in the proper position. A 50cm exible Jtipped guidewire is then passed through the needle and directed superiorly