Episode 234 · Disasters and solutions

Disasters and Solutions (Chapter 3): Vascular occlusion of the tongue with Julie Bass Kaplan

With Julie Bass Kaplan, Nurse Practitioner, California, USAHosts Dr Jake Sloane and David Segal

About this episode

Disasters and Solutions looks at unusual, difficult or outright disastrous outcomes caused by injectables. We speak to the injectors involved, go through what happened step by step, and learn what might have prevented it and how injectors can practise more safely.

In Chapter 3, California nurse practitioner Julie Bass Kaplan takes us through a case in which a patient treated with chin filler immediately developed a rare vascular occlusion affecting one side of the tongue.

We go through consent, technique and the ultrasound error, recognising the harlequin tongue, the emergency protocol and drills, patient support and the timeline, hyaluronidase dosing and stock, hyperbaric and other adjuncts, turning the complication into a paper, undiagnosed occlusions, median canal anatomy, mechanisms and risk factors, emergency kits and training, refunds and apologies, and medicolegal notes.

What you'll learn

  • How a tongue occlusion presents after chin filler
  • Running an emergency occlusion protocol
  • Hyaluronidase dosing and stock levels
  • The role of adjuncts such as hyperbaric oxygen
  • Chin and median canal anatomy
  • Supporting the patient and documenting properly

Topics

  • Disasters and solutions
  • Complications
  • Vascular occlusion
  • Chin filler
  • Hyaluronidase
  • USA

Full transcript

The full transcript for this episode is coming soon.