• Anaesth Intensive Care · Nov 2008

    Review Case Reports

    Palatopharyngeal wall perforation during Glidescope intubation.

    • W L Leong, Y Lim, and A T H Sia.
    • Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.
    • Anaesth Intensive Care. 2008 Nov 1;36(6):870-4.

    AbstractWe 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.

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