The use of the laryngeal mask airway in post-tonsillectomy haemorrhage--a case report
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
1Department of Anaesthesia, Changi General Hospital, 2 Simei Street 3, Singapore 529889.
Introduction:
The use of the laryngeal mask airway in elective adenotonsillectomy has been well described. However, there is no literature to support its use in post-tonsillectomy haemorrhage.
Clinical Picture:
We report a case of a patient who presented with primary post-tonsillectomy haemorrhage, which required general anaesthesia for haemostasis after undergoing bilateral functional endoscopic sinus surgery, uvulopalatopharyngoplasty and tonsillectomy.
Treatment And Outcome:
The laryngeal mask airway was used successfully after an initial attempt at endotracheal intubation had failed. There were no complications.
Conclusions:
The laryngeal mask airway can be used to secure the airway for haemostasis for post-tonsillectomy haemorrhage if intubation is not possible.
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