Retrograde intubation with an extraglottic device in place

James R Miner, John Rubin, Jacob Clark, Robert F Reardon

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Background The intubating laryngeal mask airway (ILMA) is an extraglottic device with a high rate of successful ventilation and oxygenation. Most modern airway algorithms suggest using an extraglottic device as the first-line rescue technique for a failed airway in emergency airway management. Eventually, a more secure airway is needed if the extraglottic temporizing device is working well. Retrograde intubation is a surgical airway management technique that is effective but relatively slow, making it most useful when ventilation can be maintained during the procedure. Case Report We report 2 cases of difficult emergency airway management with an ILMA used initially and retrograde intubation later used to establish a more secure airway. Why Should an Emergency Physician Be Aware of This? Retrograde incubation can be performed with an LMA in place for complicated airway management.

Original languageEnglish (US)
Pages (from-to)864-867
Number of pages4
JournalJournal of Emergency Medicine
Issue number6
StatePublished - Dec 2015


  • airway
  • intubating laryngeal mask
  • retrograde intubation

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