CASE REPORT
Year : 2012  |  Volume : 6  |  Issue : 3  |  Page : 292-294

Wire-guided (Seldinger technique) intubation through a face mask in urgent, difficult and grossly distorted airways


Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA

Correspondence Address:
Kristopher M Schroeder
600 Highland Avenue, B6/319 CSC, Madison, WI 53792
USA
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Source of Support: None, Conflict of Interest: Dr. Arndt invented the kit used in this case report and receives royalties related to its use. Per University of Wisconsin policy, he does not receive royalties related to the use of this product at the institution where these two products were used


DOI: 10.4103/1658-354X.101226

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We report two cases of successful urgent intubation using a Seldinger technique for airway management through an anesthesia facemask, while maintaining ventilation in patients with difficult airways and grossly distorted airway anatomy. In both cases, conventional airway management techniques were predicted to be difficult or impossible, and a high likelihood for a surgical airway was present. This technique was chosen as it allows tracheal tube placement through the nares during spontaneous ventilation with the airway stented open and oxygen delivery with either continuous positive airway pressure and/or pressure support ventilation. This unhurried technique may allow intubation when other techniques are unsuitable, while maintaining control of the airway.


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