Glass ingestion from fracture of a laryngoscope bulb

Sklar, David P.; Tandberg, Dan

doi:10.1016/0736-4679(92)90139-k

Cited by 10 publications

(4 citation statements)

References 27 publications

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“…Although there are some reports describing aspirated laryngoscope bulbs [3,4], to our knowledge, no other instrument hazards associated with the laryngoscope have been reported. Fracture between the base and the web of the blade appears to be a rare case of failure.…”

Section: To the Editormentioning

confidence: 56%

Fracture of laryngoscope blade

et al. 1996

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To the editorWe present a laryngoscope blade fracture which occurred during an endotracheal intubation.A 55-year-old woman with opacity of the vitreous was scheduled for vitrectomy. Anesthesia was induced with i.v. 200mg of thiamylal, and ventilation was assisted using nitrous oxide (66%) and isoflurane (2%) in oxygen. After i.v. 6rag of vecuronium was administered, an attempt was made to intubate the trachea using a laryngoscope with a #3 blade. When the blade was inserted into the vallecula and the laryngoscope was pulled forward and upward for orotracheal intubation, the blade abruptly fractured where the hook-on base was attached to the web (Fig. 1). Fortunately, the teeth and soft tissues of the oral and perioral area were not damaged by the blade fragment. The trachea was immediately intubated using another laryngoscope, and the surgery was performed uneventfully.Since laryngoscope malfunction is a frequent problem [1], the user should keep at least two laryngoscopes on hand, each fitted with the type of blade the user anticipates will be best for the patient, and the light of each laryngoscope should be checked for adequate intensity. We had preoperatively confirmed that the size of the blade was suitable for the patient and that the light had adequate intensity; we had not noticed any looseness between the base and the web of the blade. Thus, this fracture appears to have been induced by the force of orotracheal intubation in the present patient. Fig, 1. Laryngoscope blade fracture between hook-on base and web Address correspondence to: M. Kawamata

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Section: To the Editormentioning

confidence: 56%

Fracture of laryngoscope blade

et al. 1996

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“…Thapa et al reported a case of lost laryngoscope bulb in a neurology patient during endotracheal intubation (Thapa et al, 2010). Sklar and Tandberg reported a case of ingestion of broken glass in patient with seizure (Sklar & Tandberg, 1992).…”

Section: Discussionmentioning

confidence: 99%

A Case of Ingested Laryngoscope Bulb During Emergency Endotracheal Intubation

Sharma

Gupta

Nagyan

et al. 2021

IJMP

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Laryngoscope is one of the most important lifesaving tools in the armamentarium of medical personnel. As is the case with any other tool, this too is susceptible to rare failures. One of these rare malfunctions is the dislodgement of bulb during endotracheal intubation. This can be associated with serious consequences if patient aspirates or ingests the bulb. In the following communication we report this off chance mishap while intubating a patient in trauma ICU.

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“…[6] Cases of unusual foreign body aspiration during seizure have been presented. [7,8] Here, we report an iatrogenic, unusual and complicated case of foreign body aspira- tion resulting from an epileptic attack in a 14-year-old male at home.…”

Section: Iatrogenic Aspiration Of a Large Piece Of A Wooden Spoon In mentioning

confidence: 99%