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Protection from aspiration with the LMA-ProSeal after vomiting: a case report
1Department of Anesthesiology, Kingston General Hospital, Ontario, Canada. markd@kgh.kari.net
Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|January 7, 2003
Summary
Vomiting occurred with a ProSeal laryngeal mask airway (PLMA) in place during anesthesia. The PLMA’s drain tube effectively channeled vomitus away, preventing aspiration and ensuring a safe recovery.
Area of Science:
- Anesthesiology
- Airway Management
Background:
- The ProSeal laryngeal mask airway (PLMA) is designed with features to enhance airway protection.
- Vomiting during anesthesia poses a risk of aspiration, a serious complication.
Observation:
- A case of active vomiting occurred in a patient with a PLMA in situ during transfer to the postanesthesia care unit.
- The patient was undergoing bilateral reduction mammoplasty under general anesthesia.
Findings:
- The PLMA's drain tube successfully directed vomitus away from the pharynx and airway.
- No clinical evidence of aspiration was observed post-vomiting.
Implications:
- This case suggests the PLMA's drain tube can be effective in preventing aspiration during emesis in anesthetized patients.
- Proper positioning of the PLMA is crucial for its protective function against aspiration.