Downfolding of the epiglottis into the laryngeal inlet after tracheal intubation using the McGRATHTM MAC videolaryngoscope: a case report.
JA Clin Rep
; 6(1): 42, 2020 Jun 05.
Article
em En
| MEDLINE
| ID: mdl-32504240
ABSTRACT
BACKGROUND:
Downfolding of the epiglottis into the laryngeal inlet is considered to be a rare complication of tracheal intubation. We describe a case of epiglottic downfolding during tracheal intubation using a McGrath videolaryngoscope (McGRATHTM MAC). CASE PRESENTATION A 44-year-old female was scheduled for breast reconstruction surgery. Intubation was performed using a McGrath videolaryngoscope. After intubation, videolaryngoscopy revealed that the epiglottis was inverted and folded down into the laryngeal inlet. We elevated the larynx anteriorly using the McGrath videolaryngoscope, enabling the downfolded epiglottis to be pulled out from the laryngeal inlet and restored to its original position. After surgery, the patient was extubated without any complications.CONCLUSIONS:
When using the McGrath videolaryngoscope, both glottic exposure similar to that achieved with the Macintosh laryngoscope and careful observation of the epiglottis should enable the prevention, detection, and treatment of epiglottic downfolding into the laryngeal inlet.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
JA Clin Rep
Ano de publicação:
2020
Tipo de documento:
Article