Soft tissue injury with video laryngoscopy

This video shows soft tissue injury during intubation with a Glidescope. The operator was watching the monitor and thus unable to observe the endotracheal tube (ETT) nearly penetrating the right soft palate (arrow). When the ETT is successfully advanced, minor bleeding is evidenced by a blood-streaked cuff. The operator should directly observe the insertion of the ETT into the mouth until the ETT passes the palate to avoid this complication. At that point, attention can be directed toward the monitor.