title: Avoidance of Laryngeal Injuries during Gastric Intubation.
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 significant arytenoid trauma. This led to delayed tracheal extubation. The 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. Therefore, 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.affiliation: Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman.
authors.forename: Jyoti
authors.initials: J
authors.lastname: Burad
authors.affiliation: Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman.
authors.forename: Sonali
authors.initials: S
authors.lastname: Deoskar
authors.affiliation: Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman.
authors.forename: Pradipta
authors.initials: P
authors.lastname: Bhakta
authors.affiliation: Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman.
authors.forename: Rohit
authors.initials: R
authors.lastname: Date
authors.affiliation: Department of Anaesthesia & Intensive Care, Sultan Qaboos University Hospital, Muscat, Oman.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sharma
keywords: Case Report; Gastrointestinal Intubation; Laryngoscopy, complications; Oman
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