RETROGRADE TRACHEAL INTUBATION


INDICATION
  • Rescue device for "can't intubate" situations
PROCEDURE
  • Via Seldinger technique place needle in cricothyroid membrane or a high tracheal space.
  • Pass a wire through the needle until it emerges from the mouth. Remove the needle and secure the percutaneous part of the wire with a hemostat.
  • Advance the ET tube over wire into trachea.
COMPLICATIONS
  • Hemorrhage if the cricothyroid artery is lacerated
  • Soft-tissue infection