Fractured laryngeal mask airway: Hazards of excessive reuse

Yadav, Monu; Sandeep, G; Mahesh, R.; Gopinath, R.

doi:10.4103/0259-1162.161808

Cited by 2 publications

(2 citation statements)

References 2 publications

(2 reference statements)

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“…Rose G et al reported a unusual case of breathing system disruption under circumferential plastic drapes in facial surgery [6]. Yadav M et al and Wong DT et al reported the hazards of excessive LMA reuse leading to fracture of the LMA shaft [7,8], but the LMA Supreme is a single-use device and was hence not reused. Spielman FJ has reported complete separation of tube from mask during removal of a disposable laryngeal mask airway.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Breakage of LMA Supreme in Anticipated Difficult Airway

Saxena¹,

Gupta²,

Chahar³

et al. 2018

JCR

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Background: The laryngeal mask airway (LMA) Supreme is a single-use, secondgeneration supra-glottic airway device that gained popularity because of its ease of insertion and higher sealing pressure. We report a case of intra-operative LMA supreme breakage in a patient with anticipated difficult airway. Case Report: A 41 year-old female patient with anticipated difficult airway was posted for modified radical mastectomy under general anesthesia utilizing LMA Supreme. After one hour of uneventful surgery significant air leak was noticed. After excluding all possible causes of air leak, while repositioning the LMA, we noticed a break in LMA. The airway was successfully rescued with an endotracheal tube (ETT) rail-roaded over a bougie inserted through the broken end of the LMA. The breakage could be attributed to inadvertently exerted pressure and remained unnoticed because the LMA was covered by surgical drapes. Conclusion: Continuous vigilance and preparedness to handle difficult airways throughout the procedure are essential to manage such cases.

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Section: Discussionmentioning

confidence: 99%

Intraoperative Breakage of LMA Supreme in Anticipated Difficult Airway

Saxena¹,

Gupta²,

Chahar³

et al. 2018

JCR

View full text Add to dashboard Cite

show abstract

“…Excessive reuse of reusable SADs can also result in damage. [ 2 ] Team briefing is vital prior to every case; especially so for difficult cases. Wherever possible, in DA cases, spontaneous ventilation, avoidance of muscle relaxant and “not to burn bridges” is a sensible, safe approach.…”

mentioning

confidence: 99%