Method of translaryngeal retrograde tracheal intubation

Surgery – Means for passing respiratory gas through body of liquid...

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12820714, A61M 1500

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active

049131397

ABSTRACT:
A method of translaryngial retrograde tracheal intubation is disclosed which employs a guide wire 30 having flexible configurations on both ends. A superior end 34 having a magnet 33 therein for cooperation with a magnetic retrievel device is also disclosed. A balloon introducer 10 is disclosed for insertion into a standard endotracheal tube 20 such that after threading the superior end 34 of the orally retrieved guide wire through the tip of the introducer and out the distal end of the endotracheal tube, the endotracheal tube and introducer may be threaded through the oral pharynx 60, through the glottic opening 66, and the vocal chords 67 with minimal trauma to surrounding tissue. A method is disclosed wherein the interior end 32 of the guide wire is not retained at the insertion site, but is instead advanced inferiorally entirely into the trachea for anchoring in the tracheal tree, followed by guided insertion of an endotracheal tube 20 with a cooperating introducer 10 to minimize wandering of the tube upon the guide wire.

REFERENCES:
patent: 4244363 (1981-01-01), Anderson
patent: 4278081 (1981-07-01), Jones
patent: 4431005 (1984-02-01), McCormick
patent: 4637388 (1987-01-01), Melendy
patent: 4655214 (1987-04-01), Linder
patent: 4672960 (1987-06-01), Frankel
Anesthesiology Review, Mar. 1983.
"Solving a Difficult Intubation," Anesthesiology, vol. 64, No. 4, Apr. 1986, pp. 537-538.
"Translaryngeal Guided Intubation Using a Sheath Stylet," Anesthesiology, vol. 65, No. 5, Nov. 1985, p. 567.
"Retrograde Intubation of the Trachea," Ann. Emerg. Med., Jun. 1987; 16:680-682.
"Endotracheal Intubation using Translaryngeal Guided Intubation vs. Percutaneous Retrograde Guidewire Insertion," Critical Care Medicine, Feb. 1987, vol. 15, No. 2, p. 183.

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