Vieitez V, Ezquerra LJ, López Rámis V, Santella M, Álvarez Gómez de Segura I. Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report.
BMC Vet Res 2018;
14:118. [PMID:
29587754 PMCID:
PMC5872398 DOI:
10.1186/s12917-018-1439-7]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Accepted: 03/21/2018] [Indexed: 11/26/2022] Open
Abstract
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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