Awake Retrograde Intubation as a Practical Alternative to Fiberoptic Techniques in Cases of Severe Mouth Opening Limitation

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 0 0 2026 03 24 Awake Retrograde Intubation as a Practical Alternative to Fiberoptic Techniques in Cases of Severe Mouth Opening Limitation 1500 1500 Jayant Bhatia Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India. Priyanka Wadikar Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India. 2025 11 23 2025 12 08 In instances with a complicated airway and limited mouth opening, retrograde intubation is a feasible option for airway management when a fiberoptic bronchoscope is inaccessible. This case illustrates the successful management of an airway challenge in a 54-year-old male patient weighing 45 kg, who presented with a mandibular fracture along with extensive trismus, employing a retrograde, guide-assisted intubation approach. In such scenarios, the primary goals are to safeguard sufficient oxygenation while minimizing airway injury. https://aacc.tums.ac.ir/index.php/aacc/article/view/1500