Iatrogenic soft palate cleft during difficult intubation – a case report

Detalhes bibliográficos
Autor(a) principal: , Denise de Noronha
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25751/rspa.25924
Resumo: Endotracheal intubation is an essential skill. Videolaryngoscopy has gained popularity as an alternative intubation device,becoming a rescue tool in difficult airway intubation protocols and often considered as the first approach during COVID-19 pandemic due the increased first attempt intubation success rates. However, the loss of depth perception and the shift of the focus from the patient to the video monitor can lead to an orofaringeal blind introduction of the endotracheal tube resulting in minor to severe injuries. We report a case of a patient with a severe tonsilar pillar cleft that passed unnoticed, that required palatoplasty and tracheostomy.
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spelling Iatrogenic soft palate cleft during difficult intubation – a case reportCaso ClínicoEndotracheal intubation is an essential skill. Videolaryngoscopy has gained popularity as an alternative intubation device,becoming a rescue tool in difficult airway intubation protocols and often considered as the first approach during COVID-19 pandemic due the increased first attempt intubation success rates. However, the loss of depth perception and the shift of the focus from the patient to the video monitor can lead to an orofaringeal blind introduction of the endotracheal tube resulting in minor to severe injuries. We report a case of a patient with a severe tonsilar pillar cleft that passed unnoticed, that required palatoplasty and tracheostomy.A entubação orotraqueal é uma competência essencial do anestesiologista. A popularidade da videolaringoscopia tem vindo a aumentar, sendo considerado uma alternativa na abordagem da via aérea difícil e a primeira linha durante a pandemia a SARS-CoV-2 pela elevada taxa de sucesso de entubação à primeira tentativa. Contudo, a perda de perceção tridimensional e o desvio da atenção para o monitor leva à introdução cega do tubo orotraqueal, aumentando o risco de lesões. Apresentamos um caso clínico de uma doente com uma lesão iatrogénica do pilar amigdalino que exigiu palatoplastia e traqueostomia.  Sociedade Portuguesa de Anestesiologia2023-01-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.25924eng0871-6099, Denise de Noronhainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-01-11T05:03:13Zoai:ojs.revistas.rcaap.pt:article/25924Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:30:04.571974Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Iatrogenic soft palate cleft during difficult intubation – a case report
title Iatrogenic soft palate cleft during difficult intubation – a case report
spellingShingle Iatrogenic soft palate cleft during difficult intubation – a case report
, Denise de Noronha
Caso Clínico
title_short Iatrogenic soft palate cleft during difficult intubation – a case report
title_full Iatrogenic soft palate cleft during difficult intubation – a case report
title_fullStr Iatrogenic soft palate cleft during difficult intubation – a case report
title_full_unstemmed Iatrogenic soft palate cleft during difficult intubation – a case report
title_sort Iatrogenic soft palate cleft during difficult intubation – a case report
author , Denise de Noronha
author_facet , Denise de Noronha
author_role author
dc.contributor.author.fl_str_mv , Denise de Noronha
dc.subject.por.fl_str_mv Caso Clínico
topic Caso Clínico
description Endotracheal intubation is an essential skill. Videolaryngoscopy has gained popularity as an alternative intubation device,becoming a rescue tool in difficult airway intubation protocols and often considered as the first approach during COVID-19 pandemic due the increased first attempt intubation success rates. However, the loss of depth perception and the shift of the focus from the patient to the video monitor can lead to an orofaringeal blind introduction of the endotracheal tube resulting in minor to severe injuries. We report a case of a patient with a severe tonsilar pillar cleft that passed unnoticed, that required palatoplasty and tracheostomy.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-04
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25751/rspa.25924
url https://doi.org/10.25751/rspa.25924
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0871-6099
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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