Aspiration of gastric contents during use of a ProSeal laryngeal mask airway secondary to unidentified foldover malposition.

UNLABELLED: The primary function of the drain tube of the ProSeal laryngeal mask airway (PLMA) is to prevent aspiration of regurgitated stomach contents. We report a case of gastric aspiration with the PLMA during a laparoscopic cholecystectomy in a 64-yr-old healthy man secondary to an unidentified foldover malposition. It is imperative that the position and patency of the drain tube be verified in all patients with the PLMA. IMPLICATIONS: We report a case of gastric aspiration with the ProSeal laryngeal mask during a laparoscopic cholecystectomy secondary to an unidentified foldover malposition. It is imperative that the position and patency of the drain tube be verified in all patients with the ProSeal laryngeal mask.