Ameloblastoma Making Intubation Difficult Leading to a Retrograde Awake Nasal Intubation -An Airway Challenge in Emergency

Abstract

In cases with an unanticipated difficult airway, retrograde intubation can be used as an alternative procedure for airway management when a fiber optic bronchoscope is unavailable. We here report a case of successful management of an unanticipated difficult airway following a failed intubation in a 22-year-old male with a large right mandibular mass using retrograde intubation guided technique. Maintaining oxygenation and minimizing airway trauma should be the priority following a failed intubation. Decisions seeking alternative techniques following failed intubation are easy, if valid and applicable techniques (as per skill of emergency medicine physician and available resources) are discussed before induction of anesthesia.