Endotracheal intubation is especially necessary for ventilatory care in Positive End Expiratory Pressure (PEEP) therapy. In many circumstances it is difficult to obtain an adequate view of the vocal cords, and thus various technics have been used for airway management. Retrograde tracheal intubation was performed on a 73-year old male patient suffering from postoperative noncardiogenic pulmonary edema who needed ventilatory PEEP therapy. This procedure was successful and a tracheostomy was not needed. Following improvement he was discharged with out complication.