Palatopharyngeal wall perforation during Glidescope intubation.

Abstract:

:We report a case of palatopharyngeal wall perforation during intubation with a GlideScope laryngoscope. The likely mechanism was advancing and rotating the endotracheal tube against a taut palatopharyngeal fold. This was missed during the initial laryngoscopy, because there is a potential blind-spot in the oropharynx when attention is focused on the GlideScope" monitor Fortunately, there were no sequelae other than minor bleeding and a mild sore throat and no surgical intervention was necessary. The use of unnecessary force during the endotracheal tube insertion, the use of too large a laryngoscope blade and the use of a rigid stylet could possibly also have been contributory factors to this complication.

journal_name

Anaesth Intensive Care

authors

Leong WL,Lim Y,Sia AT

doi

10.1177/0310057X0803600620

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

870-4

issue

6

eissn

0310-057X

issn

1448-0271

pii

20080251

journal_volume

36

pub_type

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