A case of breakage of LMA Supreme ^TM on its first use

Intraoperative Breakage of LMA Supreme in Anticipated Difficult Airway

“…Simon BP have also reported intra-operative breakage of the LMA Supreme on its first use. The exact cause could not determined in their case [5]. After thorough evaluation in this case, we concluded that since the surgical site was close to the airway and the LMA was fixed in an erect position and was completely covered under surgical drapes, LMA breakage could have been caused by in advertent pressure exerted by the surgeons standing very close to the head end during axillary dissection, and the assistant surgeon's hand jerked suddenly due to malpositioning of the surgical retractor.…”

Fractured laryngeal mask

“…To our knowledge, this is only the second reported case of such a failure in a single‐use laryngeal mask , although there have been several case reports of breakages of re‐usable devices . Although our case resulted in no harm to the patient, there was potential for disaster.…”

“…To our knowledge, this is only the second reported case of such a failure in a single-use laryngeal mask [1], although there have been several case reports of breakages of re-usable devices [2][3][4][5]. Although Figure 2 Yankauer sucker over a paediatric bougie to assist videolayngoscopic intubation.…”

“…Use of a bougie, however, does not always facilitate videolaryngoscopic intubation as the authors describe. Furthermore, the use of new techniques may present further challenges, requiring the development of newer adjuncts to assist intubation [2].…”

“…Magill's forceps were not designed for videolaryngoscopy, and modified Magill's forceps [2] (with blade deviation towards one side) may harm the patient. I have developed forceps, therefore, specifically designed for videolaryngoscopy using an optic system with a screen view.…”