Avoidance of Laryngeal Injuries during Gastric Intubation
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 3
Abstract
Gastric intubation is a common and simple procedure that is often performed on patients who are sedated or anaesthetised. If the gastric tube (GT) is inserted blindly while the patient is unconscious, this procedure may result in easily preventable complications such as laryngeal trauma. We present an interesting case where the blind placement of a orogastric tube (OGT) in an anesthetised 52-year-old female patient at Sultan Qaboos University Hospital in Oman resulted in signifcant arytenoid trauma. Tis led to delayed tracheal extubation. Te movement of the GT from the oropharyngeal area to the upper oesophageal sphincter can be visualised and controlled with the use of Magill forceps and a laryngoscope. Terefore, this report highlights the need for GT insertion procedures to be performed under direct vision in patients who are unconscious (due to sedation, anaesthesia or an inherent condition) in order to prevent trauma to the laryngeal structures.
Authors and Affiliations
Jyoti Burad| Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman, Sonali Deoskar| Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman, Pradipta Bhakta| Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman, Rohit Date| Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman, Pradeep Sharma| Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman
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