Use of the ProSeal™ laryngeal mask airway in a pregnant patient with a difficult airway during electroconvulsive therapy

Brown, N; Mack, Patricia Fogarty; Mitera, D. M.; Dhar, Panchali

doi:10.1093/bja/aeg227

Cited by 29 publications

(8 citation statements)

References 9 publications

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“…It has been successfully placed even in obese patients either in anaesthetic or critical care situations. [7891011] There are various described techniques of insertion of PLMA. [12] Guided insertion was more frequently successful than the digital and IT techniques in patients with simulated difficult airway with a rigid neck collar.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of gum-elastic bougie and introducer tool as aids in positioning of ProSeal laryngeal mask airway in patients with simulated restricted neck mobility

et al. 2013

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Background:The ProSeal laryngeal mask airway (PLMA) is a unique laryngeal mask with a modified cuff to improve seal and a channel to facilitate gastric tube placement. This is a better device in difficult airway situations compared to classic laryngeal mask airway. This prompted us to study the ease of insertion and positioning of PLMA in patients with simulated restricted neck mobility while using gum elastic bougie (GEB) group or introducer tool (group IT) to aid insertion.Methods:Sixty ASA I or II patients, aged between 18 years and 60 years, undergoing minor non-head and neck surgeries in the supine position were studied. A rigid neck collar was used to simulate restricted neck mobility in all patients. After anaesthetising the patients with a standard protocol, the PLMA was inserted using either of the technique using the tongue depressor to open the mouth. The ease of insertion, positioning, haemodynamic responses to insertion and other complications related to the procedure were noted.Results:Regarding demographic variables, both groups were similar. The mean time taken for insertion of PLMA in group GEB was 67.80 s as compared to 46.79 s in group IT (P<0.05). Patients of group GEB had better positioning assessed by an intubating fiberscope with less end tidal carbon-di-oxide (ETCO2) values. Systolic and diastolic blood pressures were similar. The incidence of sore throat, dysphagia, and dysphonia were higher in IT group in the 12 h, but similar in 24 h.Conclusion:Guided insertion technique with GEB took a longer time, but had a better positioning and lower ETCO2 values when compared to IT technique.

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Section: Discussionmentioning

confidence: 99%

Comparative evaluation of gum-elastic bougie and introducer tool as aids in positioning of ProSeal laryngeal mask airway in patients with simulated restricted neck mobility

et al. 2013

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“…82 ELECTIVE CASES OF KNOWN DIFFICULT AIRWAY There are four reports of use of the PLMA to overcome known airway difficulties. [82][83][84][85] In three cases the PLMA was used instead of tracheal intubation. In one case the PLMA was placed awake, using topical anesthesia.…”

Section: Difficult Airwaysmentioning

confidence: 99%

The proseal™laryngeal mask airway: a review of the literature

Cook

Lee

Nolan

2005

Can J Anesth/J Can Anesth

233

207

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“…[14] Ivascu Brown et al described the use of ProSeal laryngeal mask airway (PLMA) and controlled ventilation for eight sessions of electroconvulsive therapy in a pregnant patient in 2 nd trimester of pregnancy. [15] CONCLUSION: We conclude that the LMA is effective and safe for in carefully selected ASA 1 pregnant patients in the hands of experienced Anesthesiologist. The soft and rounded edge of LMA gives better compliance to a spontaneously breathing patient and at the same time prevents the injury to the soft tissues.…”

Section: S No Demographic Datamentioning

confidence: 75%

Expanded Role of Lma in Minor Obstetric Procedure: A Prospective Study

Chakravarthy¹,

Nalagandla²,

Cherukuri³

et al. 2015

jebmh

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The Laryngeal Mask Airway (LMA) has been used extensively to provide a safe airway in spontaneously breathing patients who are not at risk from aspiration of gastric contents. The increased risk of aspiration in Obstetric population was initially considered as a relative contra indication for LMA usage. But LMA proved to be safe in this subgroup and in fact significantly decreased tidal volume was noted during IPPV with a decreased the risk of aspiration. METHOD: This is a prospective study, performed in Niloufer Hospital for Children & Women from June 2011-January 2014 over a period of 30months. We studied the ease of insertion of single use ILMA and associated complications in 35 ASA 1 obstetric patients. RESULTS: The mean age of the patients was 27.4 years. The mean BMI was 28.4 kg /m 2. 21 patients were admitted for cerclage (60.0%), 5 Bartholin's abscess (14.28%), 6 cases of manual removal of placenta (17.14%), 3 cases of vescicular mole for evacuation (8.57%). The duration of anesthesia ranged from 20-40 min with a mean duration of 19 minutes. The first time insertion rate was 88.57%, 31 out of 35 patients had the LMA inserted in first attempt. 4 patients needed reinsertion. None of the patients had aspiration or other complications associated with LMA. There were no failed insertions. CONCLUSION: We conclude that the LMA is effective and safe for in carefully selected ASA 1 pregnant patients in the hands of experienced Anesthesiologist.

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Use of the ProSeal™ laryngeal mask airway in a pregnant patient with a difficult airway during electroconvulsive therapy

Cited by 29 publications

References 9 publications

Comparative evaluation of gum-elastic bougie and introducer tool as aids in positioning of ProSeal laryngeal mask airway in patients with simulated restricted neck mobility

Comparative evaluation of gum-elastic bougie and introducer tool as aids in positioning of ProSeal laryngeal mask airway in patients with simulated restricted neck mobility

The proseal™laryngeal mask airway: a review of the literature

Expanded Role of Lma in Minor Obstetric Procedure: A Prospective Study

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