The authors describe the special tracheal intubation technique used in two patients with a difficult airway. These are the translaryngeal retrograde wire-guided and fiberoptic intubation. The authors show how to use both to facilitate intubation. The authors modified the technique by passing a guide-wire in a retrograde manner from the trachea to the nose and then a fiberoptic laryngoscope within the endotracheal tube over the wire. The technique can be applied for use in any difficult airway situation.

Keywords: Intubation technique, Difficult airway, Retrograde wire-guided, Fiberoptic