PURPOSE: 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. CLINICAL FINDINGS: 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 successful in securing his airway and surgery proceeded uneventfully. CONCLUSIONS: 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.
PURPOSE: 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. CLINICAL FINDINGS: 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 successful in securing his airway and surgery proceeded uneventfully. CONCLUSIONS: 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.
Authors: Shi Yang Li; Wei Yu Yao; Yong Jin Yuan; Wen Shu Tay; Nian-Lin Reena Han; Rehena Sultana; Pryseley N Assam; Alex Tiong-Heng Sia; Ban Leong Sng Journal: BMC Anesthesiol Date: 2017-12-19 Impact factor: 2.217