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

We describe a patient at 20-22 weeks gestation, with a known difficult airway, who underwent eight sessions of electroconvulsive therapy using the ProSeal laryngeal mask airway and controlled ventilation. The airway management options for brief periods of general anaesthesia in patients with increased gastric volume are discussed.