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

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...

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Main Authors: Verónica Vieitez, Luis Javier Ezquerra, Víctor López Rámis, Massimo Santella, Ignacio Álvarez Gómez de Segura
Format: Article
Language:English
Published: BMC 2018-03-01
Series:BMC Veterinary Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12917-018-1439-7
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author Verónica Vieitez
Luis Javier Ezquerra
Víctor López Rámis
Massimo Santella
Ignacio Álvarez Gómez de Segura
author_facet Verónica Vieitez
Luis Javier Ezquerra
Víctor López Rámis
Massimo Santella
Ignacio Álvarez Gómez de Segura
author_sort Verónica Vieitez
collection DOAJ
description 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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spelling doaj.art-3d0cef7beebd41b8a29ad21d82e983382022-12-21T18:45:10ZengBMCBMC Veterinary Research1746-61482018-03-011411610.1186/s12917-018-1439-7Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case reportVerónica Vieitez0Luis Javier Ezquerra1Víctor López Rámis2Massimo Santella3Ignacio Álvarez Gómez de Segura4Veterinary Teaching Hospital, University of ExtremaduraVeterinary Teaching Hospital, University of ExtremaduraVeterinary Teaching Hospital, University of ExtremaduraVeterinary Teaching Hospital, University of ExtremaduraDepartment of Animal Medicine and Surgery, Veterinary Faculty, University Complutense of MadridAbstract 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.http://link.springer.com/article/10.1186/s12917-018-1439-7DogDifficult airwayRetrograde intubation
spellingShingle Verónica Vieitez
Luis Javier Ezquerra
Víctor López Rámis
Massimo Santella
Ignacio Álvarez Gómez de Segura
Retrograde intubation in a dog with severe temporomandibular joint ankylosis: case report
BMC Veterinary Research
Dog
Difficult airway
Retrograde intubation
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 Dog
Difficult airway
Retrograde intubation
url http://link.springer.com/article/10.1186/s12917-018-1439-7
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AT victorlopezramis retrogradeintubationinadogwithseveretemporomandibularjointankylosiscasereport
AT massimosantella retrogradeintubationinadogwithseveretemporomandibularjointankylosiscasereport
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