“…Twenty-five occurred, 19 in association with 2339 phacoemulsifications (0.81%) and six with 500 ECCEs (1.2%). Previous authors had identified uncontrolled hypertension as a risk factor but in this series hypertension was not found to be so perhaps because though seven of the 25 were being treated for systemic hypertension it remained well controlled [5]. The technique of phacoemulsification in 1986 was iris plane but, in the second report, this had changed to capsular bag (capsulorhexis) which means that the globe is always under pressure from the constant infusion flow and is not subjected to the repeated pressure swings of the former technique.…”
“…Twenty-five occurred, 19 in association with 2339 phacoemulsifications (0.81%) and six with 500 ECCEs (1.2%). Previous authors had identified uncontrolled hypertension as a risk factor but in this series hypertension was not found to be so perhaps because though seven of the 25 were being treated for systemic hypertension it remained well controlled [5]. The technique of phacoemulsification in 1986 was iris plane but, in the second report, this had changed to capsular bag (capsulorhexis) which means that the globe is always under pressure from the constant infusion flow and is not subjected to the repeated pressure swings of the former technique.…”
“…[86][87][88][89] On six occasions the PLMA secured airway rescue after failed intubation at rapid sequence induction (RSI). [90][91][92][93][94] Four were obstetric emergencies [91][92][93][94] and two non-obstetric. 90,91 Three cases were associated with difficult ventilation.…”
Section: Difficult Airwaysmentioning
confidence: 99%
“…[90][91][92][93][94] Four were obstetric emergencies [91][92][93][94] and two non-obstetric. 90,91 Three cases were associated with difficult ventilation. 90,91 In two cases rescue with a cLMA was attempted but failed before a PLMA was used.…”
Section: Difficult Airwaysmentioning
confidence: 99%
“…90,91 In two cases rescue with a cLMA was attempted but failed before a PLMA was used. 90,91 In all cases the PLMA was used uneventfully to completion of the case.…”
“…Its use after failed rapid sequence induction (RSI) has been suggested 2 and successful airway management has been reported in both obstetric 3 and non-obstetric RSI. 4 We report two additional cases where the PLMA proved effective in rescuing the airway after failed tracheal intubation during RSI.…”
Section: Conclusion : La Bonne Mise En Place Du Mlp Présente Des Avanmentioning
P Pu ur rp po os se e: : We report two cases where the ProSeal™ laryngeal mask airway (PLMA) was successfully used as a rescue device, after failed tracheal intubation, during rapid sequence induction.C Cl li in ni ic ca al l f fi in nd di in ng gs s: : The first case involved a 31-yr-old primigravida presenting for emergency Cesarean section for severe fetal distress. She had a grade 3 larynx and airway edema was observed during laryngoscopy. Attempts with a McCoy blade and gum elastic bougie failed to secure the airway. A size 4 PLMA was inserted with good airway control and surgery proceeded uneventfully. The second case involved a 51-yr-old man presenting for appendectomy. Following failed attempts at intubation, a size 5 PLMA was succesful in securing his airway and surgery proceeded uneventfully.C Co on nc cl lu us si io on ns s: : The correctly placed PLMA has potential advantages over the cLMA for airway rescue in the circumstance of failed emergency intubation in a patient with a potentially full stomach. In the two cases reported, the PLMA provided effective rescue of the airway.Objectif : Présenter deux cas où le masque laryngé ProSeal™ (MLP) a servi d'instrument de secours après l'échec de l'intubation endotrachéale pendant une induction à séquence rapide.
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