Mechanical closure of the vocal cords with the laryngeal mask airway ProSeal™

被引:32
作者
Brimacombe, J [1 ]
Richardson, C
Keller, C
Donald, S
机构
[1] Univ Queensland, Cairns Base Hosp, Dept Anaesthesia & Intens Care, The Esplanade, Cairns 4870, Australia
[2] Leopold Franzens Univ, Dept Anaesthesia & Intens Care Med, A-6020 Innsbruck, Austria
关键词
airway; technique; complications; obstruction; equipment; ProSeal laryngeal mask airway;
D O I
10.1093/bja/88.2.296
中图分类号
R614 [麻醉学];
学科分类号
100217 [麻醉学];
摘要
We report a case of mechanical closure of the vocal cords with the laryngeal mask airway ProSeaI(TM) (PLMA) in an anaesthetized, paralysed 59-yr-old, 88 kg female undergoing lower-limb vascular surgery. Near-complete airway obstruction developed after a size-5 PLMA was inserted and the cuff inflated with 20 ml of air. Fibreoptic inspection revealed that the PLMA was correctly positioned, but the vocal cords were closed. Withdrawal of air from the cuff and/or moving the head and neck into the sniffing position resolved this problem.
引用
收藏
页码:296 / 297
页数:2
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