Iatrogenic Soft Palate Injury Secondary to Intubation Using Glidescope® Video Laryngoscope in the Emergency Room
Mayur Rama K Chillal, Khalil Ibrahim A Kharusi, Nabil K Al-Hashemi
Keywords :
Airway injury, Glidescope video laryngoscope, Iatrogenic, Intubation
Citation Information :
Chillal MR, Kharusi KI, Al-Hashemi NK. Iatrogenic Soft Palate Injury Secondary to Intubation Using Glidescope® Video Laryngoscope in the Emergency Room. 2022; 1 (3):154-155.
Intubation in the emergency room (ER) is a challenging task by itself, as the operator has very little time to assess the airway of the patient in an emergency situation. This race against time to secure the airway creates a loophole for iatrogenic airway injuries. Though the usage of airway gadgets for intubation in ER, is a very common process, one cannot completely rule out the risk of airway injury using these gadgets. This is the first case where we report iatrogenic airway injury caused to the soft palate while intubation in ER using a Glidescope® video laryngoscope. This case report discusses the various aspects of causes, prevention, and approach to iatrogenic airway injuries
Walls R. A Clinician's Guide to Video Laryngoscopy: tips and techniques. NY: McMahon Publications; 2009. p. 16–8.
Leong WL, Lim Y, Sia AT. Palatopharyngeal wall perforation during GlideScope intubation. Anaesth Intensive Care 2008;36(6):870–874. DOI: 10.1177/0310057X0803600620
Manickam BP, Adhikary SD. Re: soft palate perforation during orotracheal intubation facilitated by the GlideScope video laryngoscope. J Clin Anesth 2007;20(5):401–402. DOI: 10.1016/j.jclinane.2008.01.009
Magboul MM, Joel S. The video laryngoscopes blind spots and possible lingual nerve injury by the Gliderite rigid stylet—case presentation and review of literature. Middle East J Anesthesiol 2010;20(6):857–860.
Griesdale DE, Liu D, McKinney J, et al. Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth 2012;59(1):41–52. DOI: 10.1007/s12630-011-9620-5
Greer D, Marshall KE, Bevans S, et al. Review of video laryngoscopy pharyngeal wall injuries. Laryngoscope 2017;127(2):349–353. DOI: 10.1002/lary.26134
Dupanovic M. Maneuvers to prevent oropharyngeal injury during orotracheal intubation with the GlideScope video laryngoscope. J Clin Anesth 2010;22(2):152–154. DOI: 10.1016/j.jclinane.2009.06.003
Cooper RM. Complications associated with the use of the GlideScope video laryngoscope. Can J Anaesth 2007;54(1):54–57. DOI: 10.1007/ BF03021900
Cross P, Cytryn J, Cheng KK. Perforation of the soft palate using the GlideScope video laryngoscope. Can J Anaesth 2007;54(7):588–589. DOI: 10.1007/BF03022329
Malik AM, Frogel JK. Anterior tonsillar pillar perforation during GlideScope video laryngoscopy. Anesth Analg 2007;104(6):1610–1611. DOI: 10.1213/01.ane.0000264321.04403.06
Vincent RD Jr, Wimberly MP, Brockwell RC, et al. Soft palate perforation during orotracheal intubation facilitated by the GlideScope video laryngoscope. J Clin Anesth 2007;19(8):619–621. DOI: 10.1016/j.jclinane.2007.03.010
Thorley D, Simons AR, Mirza O, et al. Palatal and retropharyngeal injury secondary to intubation using the GlideScope® video laryngoscope. Ann R Coll Surg Engl 2015;97(4):e67–e69. DOI: 10.1308/003588415X1418125478972
Oh MW, Yarmosh A, Francis D, et al. Soft palate perforation from Glidescope® intubation: a case report. Clin Case Rep 2021;9(9):e04864. DOI: 10.1002/ccr3.4864
