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Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report

BACKGROUND: Orotracheal intubation in dogs is a common and easily-performed procedure that provides a patent airway during anaesthesia. In dogs with temporomandibular joint ankylosis or pseudo-ankylosis, airway management can be a challenging procedure since these dogs have a limited ability to open...

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Autores principales: Vieitez, Verónica, Ezquerra, Luis Javier, López Rámis, Víctor, Santella, Massimo, Álvarez Gómez de Segura, Ignacio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872398/
https://www.ncbi.nlm.nih.gov/pubmed/29587754
http://dx.doi.org/10.1186/s12917-018-1439-7
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author Vieitez, Verónica
Ezquerra, Luis Javier
López Rámis, Víctor
Santella, Massimo
Álvarez Gómez de Segura, Ignacio
author_facet Vieitez, Verónica
Ezquerra, Luis Javier
López Rámis, Víctor
Santella, Massimo
Álvarez Gómez de Segura, Ignacio
author_sort Vieitez, Verónica
collection PubMed
description BACKGROUND: Orotracheal intubation in dogs is a common and easily-performed procedure that provides a patent airway during anaesthesia. In dogs with temporomandibular joint ankylosis or pseudo-ankylosis, airway management can be a challenging procedure since these dogs have a limited ability to open their mouth. Methods to provide safe, uneventful intubation in such patients may include minimally invasive techniques such as retrograde intubation using a guide wire and fibre-optic-aided laryngoscopy. CASE PRESENTATION: We report a case of a 16-month-old, intact female Bull Terrier weighing 17 kg, admitted to the hospital for surgical treatment of bilateral ankylosis of the temporomandibular joint. Intubation was achieved, without direct observation of the larynx, by retrograde intubation using a vascular access catheter and a vascular wire guide through cricothyroid membrane. Bilateral condylectomy was performed and the dog recovered uneventfully. CONCLUSIONS: In conclusion, retrograde intubation was relatively simple to perform with the guide wire technique and no specific training or equipment were necessary.
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spelling pubmed-58723982018-04-02 Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report Vieitez, Verónica Ezquerra, Luis Javier López Rámis, Víctor Santella, Massimo Álvarez Gómez de Segura, Ignacio BMC Vet Res Case Report BACKGROUND: Orotracheal intubation in dogs is a common and easily-performed procedure that provides a patent airway during anaesthesia. In dogs with temporomandibular joint ankylosis or pseudo-ankylosis, airway management can be a challenging procedure since these dogs have a limited ability to open their mouth. Methods to provide safe, uneventful intubation in such patients may include minimally invasive techniques such as retrograde intubation using a guide wire and fibre-optic-aided laryngoscopy. CASE PRESENTATION: We report a case of a 16-month-old, intact female Bull Terrier weighing 17 kg, admitted to the hospital for surgical treatment of bilateral ankylosis of the temporomandibular joint. Intubation was achieved, without direct observation of the larynx, by retrograde intubation using a vascular access catheter and a vascular wire guide through cricothyroid membrane. Bilateral condylectomy was performed and the dog recovered uneventfully. CONCLUSIONS: In conclusion, retrograde intubation was relatively simple to perform with the guide wire technique and no specific training or equipment were necessary. BioMed Central 2018-03-27 /pmc/articles/PMC5872398/ /pubmed/29587754 http://dx.doi.org/10.1186/s12917-018-1439-7 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Vieitez, Verónica
Ezquerra, Luis Javier
López Rámis, Víctor
Santella, Massimo
Álvarez Gómez de Segura, Ignacio
Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
title Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
title_full Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
title_fullStr Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
title_full_unstemmed Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
title_short Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
title_sort retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872398/
https://www.ncbi.nlm.nih.gov/pubmed/29587754
http://dx.doi.org/10.1186/s12917-018-1439-7
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