{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:31:01Z","timestamp":1771036261502,"version":"3.50.1"},"reference-count":9,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:p>Traditional retrograde intubation consists of tracheal intubation performed over a guide wire inserted into the trachea inferior to the vocal cords and then passed transorally or transnasally. This intubation technique is reserved for patients with a difficult airway when other methods such as blind nasal intubation or video laryngoscopy fail. A guide wire passed blindly in a retrograde fashion, however, is not without its own constraints. This case report presents the anesthetic management of a 23-year-old Duchenne muscular dystrophy patient with substantial scarring from a previous tracheostomy stoma and limited mouth opening. The patient underwent a retrograde fiber-optic transnasal intubation without the use of a guide wire for a tracheostomy revision procedure, followed by a second tracheostomy revision and retrograde fiber-optic transoral intubation 7.5 months later. This report demonstrates a novel technique for intubating patients with difficult airways. The use of a flexible fiber-optic bronchoscope for a retrograde intubation mitigates complications that can arise using traditional retrograde intubation over a guide wire and increases the likelihood of successful intubation.<\/jats:p>","DOI":"10.2344\/anpr-68-04-01","type":"journal-article","created":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T16:11:45Z","timestamp":1649088705000},"page":"42-45","source":"Crossref","is-referenced-by-count":3,"title":["Retrograde Intubation Over a Flexible Fiber-Optic Bronchoscope"],"prefix":"10.2344","volume":"69","author":[{"given":"Ramanjot S.","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Hutnik","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishu","family":"Kant","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Zlatopolsky","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chamandeep","family":"Brar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Slawomir P.","family":"Oleszak","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","published-online":{"date-parts":[[2022,4,4]]},"reference":[{"key":"2022040416094206700_i0003-3006-69-1-42-b01","doi-asserted-by":"crossref","unstructured":"Butler\n              FS,\n            \n            \n              Cirillo\n              AA.\n            \n          \n          Retrograde tracheal intubation.\n\t\t\t\t\tAnesth Analg.\n\t\t\t\t\t1960;\n\t\t\t\t\t39:\n\t\t\t\t\t333\u2013\n\t\t\t\t\t338.","DOI":"10.1213\/00000539-196007000-00013"},{"key":"2022040416094206700_i0003-3006-69-1-42-b02","doi-asserted-by":"crossref","unstructured":"Viera\n              D,\n            \n            \n              Lages\n              N,\n            \n            \n              Dias\n              J,\n            \n            \n              Maria\n              L,\n            \n            \n              Correia\n              C.\n            \n          \n          Retrograde intubation: an old-new 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Progress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/69\/1\/42\/3036922\/i0003-3006-69-1-42.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/69\/1\/42\/3036922\/i0003-3006-69-1-42.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T19:51:25Z","timestamp":1705607485000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/69\/1\/article-p42.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,4,4]]},"published-print":{"date-parts":[[2022,4,1]]}},"URL":"https:\/\/doi.org\/10.2344\/anpr-68-04-01","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"value":"1878-7177","type":"electronic"},{"value":"0003-3006","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4,1]]}}}