Format

Send to

Choose Destination
Anaesth Intensive Care. 2008 Nov;36(6):870-4.

Palatopharyngeal wall perforation during Glidescope intubation.

Author information

1
Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.

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.

PMID:
19115660
DOI:
10.1177/0310057X0803600620
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Australian Society of Anaesthetists
Loading ...
Support Center