Soft palate perforation during orotracheal intubation facilitated by the GlideScope videolaryngoscope.

We report a case in which a videolaryngoscope was used to facilitate endotracheal intubation in a patient with a large exophytic mass involving the right supraglottis. After intubation, it was noted that the soft palate had been perforated by the styletted endotracheal tube. The defect closed spontaneously postoperatively within 9 days.

Posttetanic count revisited: are measurements more reliable using the TOF-Watch accelerographic peripheral nerve stimulator?

Objective: Measurement of profound neuromuscular block using posttetanic count is among the most subjective measurements made in clinical anesthesia. The TOF-Watch accelerographic peripheral nerve stimulator provides objective measurements of neuromuscular block that may improve our ability to quantitate intense blockade.

Methods: The TOF-Watch and Digi Stim III peripheral nerve stimulators were used to monitor onset and early recovery of neuromuscular response induced by rocuronium 0.

Complications of inhaled anesthesia delivery systems.

Inhaled anesthesia delivery systems (ADS) have evolved in the past 20 years from simple pneumatic machines to complex computer-controlled devices. For the purposes of this discussion, we will outline some of the potential complications that may result from the use of these systems. Because of the complexity of modern ADS, it is incumbent on the anesthesiologist to be cognizant of potential problems that may arise with their use.