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  • Title: Retrieval of a retrograde catheter using suction, in patients who cannot open their mouths.
    Author: Bhattacharya P, Biswas BK, Baniwal S.
    Journal: Br J Anaesth; 2004 Jun; 92(6):888-901. PubMed ID: 15121725.
    Abstract:
    In difficulty, tracheal intubation can be facilitated by passing a retrograde catheter, but the mouth has to be opened for the retrieval of the catheter from the pharynx. Two patients with ankylosis of a temporomandibular joint were unable to open their mouth, and required general anaesthesia for gap arthroplasty. Because we did not have a flexible fibreoptic laryngoscope, we used a suction catheter to retrieve an epidural catheter from the pharyngeal cavity, which had been passed retrogradely from a cricothyroid puncture. Catheter-guided tracheal intubation was done without complication. A suction catheter can assist retrograde retrieval of a catheter to aid intubation in patients who cannot open the mouth.
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