• J Clin Anesth · Dec 2015

    Observational Study

    Soft tissue injuries after direct laryngoscopy.

    • J Mourão, J Moreira, J Barbosa, J Carvalho, and J Tavares.
    • Department of Anesthesiology Centro Hospitalar São João, EPE, Porto, Portugal; Anesthesiology and Perioperative Care Unit, Department of Surgery, Faculty of Medicine, University of Porto, Porto, Portugal. Electronic address: joanamourao1@sapo.pt.
    • J Clin Anesth. 2015 Dec 1; 27 (8): 668-71.

    Study ObjectiveThe study objective is to determine the incidence of oral soft tissue trauma during classic direct laryngoscopy for tracheal intubation and the risk factors associated with it.DesignThis is a prospective observational study.SettingThe setting is at a ward.PatientsThe patients are adults submitted to elective interventions in general surgery requiring tracheal intubation by classic direct laryngoscopy.InterventionsDuring 6 months, all patients were interviewed 12-24 hours before anesthesia and after surgery and underwent a detailed oral examination performed by an anesthesiology blind to anesthetic management details and preoperative patient care.MeasurementsEvaluation of oral soft tissue injuries includes oral mucosa including the gums; the alveolar mucosa in the edentulous patient, palate, and the buccal mucosa; lips (mucosa and skin); and the tongue. Injury severity was assessed using the severity scale presented routinely in Portuguese legal medicine research: grade 0, no injuries had; grade 1, mild severity injuries; grade 2, medium severity injuries; and grade 3, major severity injuries.Main ResultsSoft tissue trauma was observed in 278 (52.1%) patients. Soft tissue injury occurred once in 204 (38.2%) patients, 2 in 64 (38.2%) patients, and 3 times in 10 (1.9%) patients. Tongue injury was the most common type of soft tissue trauma (36.3%) followed by lower lip injury (22.3%), upper lip injury (7.1%), and oral mucosa injury (2.1%). All the lesions were grade 1 or 2. Only oral mucosa injury was found to be associated with age group (P = .021).ConclusionsOur study reveals a high incidence of lesions grade 1 or 2 in soft tissue.Copyright © 2015 Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…