D Cole Pourciau1,2, D Peter Hotard2, Schuylor Hayley1, Kasey Hayley1, Collin Sutton1,2, Andrew J McWhorter3, Daniel S Fink4. 1. Our Lady of the Lake Regional Medical Center, Baton Rouge. 2. Our Lady of the Lake College Nurse Anesthesia Program. 3. Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana. 4. Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Denver, Colorado, U.S.A.
Abstract
OBJECTIVE: To assess the efficacy of laryngeal mask airway (LMA) ventilation in obese patients with airway stenosis. STUDY DESIGN: A retrospective chart review was conducted in an academic practice in a tertiary care center. METHODS: We retrospectively reviewed our experience using LMA ventilation in obese patients with airway stenosis. Lowest intraoperative O2 saturation and maximum-end tidal carbon dioxide (CO2 ) levels were recorded. Complications including intubation, unplanned admission, re-admission, postoperative pain, dysphonia, oral trauma, pneumothorax, pneumomediastinum, and tracheostomy were recorded. RESULTS: Fourteen bronchoscopies with laser incisions and dilation were performed in patients with airway stenosis exclusively using LMA ventilation. Thirteen of 14 procedures were performed on patients who had body mass index (BMI) > 30 kg/m2 . Mean BMI was noted to be 38 kg/m2 (range 25-54). All patients underwent successful laser incisions and dilation via LMA anesthesia without major or minor adverse events. The mean lowest O2 saturation level was noted to be 92%; the mean highest CO2 level was noted to be 56 mm Hg; and no patients required endotracheal intubation. CONCLUSION: In this small series of obese patients with airway stenosis, LMA anesthesia was effectively used without major or minor complications. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:2582-2584, 2017.
OBJECTIVE: To assess the efficacy of laryngeal mask airway (LMA) ventilation in obesepatients with airway stenosis. STUDY DESIGN: A retrospective chart review was conducted in an academic practice in a tertiary care center. METHODS: We retrospectively reviewed our experience using LMA ventilation in obesepatients with airway stenosis. Lowest intraoperative O2 saturation and maximum-end tidal carbon dioxide (CO2 ) levels were recorded. Complications including intubation, unplanned admission, re-admission, postoperative pain, dysphonia, oral trauma, pneumothorax, pneumomediastinum, and tracheostomy were recorded. RESULTS: Fourteen bronchoscopies with laser incisions and dilation were performed in patients with airway stenosis exclusively using LMA ventilation. Thirteen of 14 procedures were performed on patients who had body mass index (BMI) > 30 kg/m2 . Mean BMI was noted to be 38 kg/m2 (range 25-54). All patients underwent successful laser incisions and dilation via LMA anesthesia without major or minor adverse events. The mean lowest O2 saturation level was noted to be 92%; the mean highest CO2 level was noted to be 56 mm Hg; and no patients required endotracheal intubation. CONCLUSION: In this small series of obesepatients with airway stenosis, LMA anesthesia was effectively used without major or minor complications. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:2582-2584, 2017.