Intraoral Finger Stabilization of Proseal LMA for Adequate Rescue in Cannot Ventilate, Cannot Intubate and Cannot Be Tracheostomized Situation
ARC Journal of Anesthesiology. 2017; 2(2):1-4. DOI /2455-9792.0202001.
4 Pages Posted: 16 Oct 2019
Date Written: November 16, 2017
Abstract
Airway management of an infant is challenging. Neck swelling or neck space infection also poses difficulty in airway management by distorting the anatomy and an anesthesiologist faces one of the toughest situations while securing the airway. We present here a case which landed up in to cannot ventilate, cannot intubate and cannot be the tracheostomized situation. The airway was somehow managed using Proseal laryngeal mask airway only after supported with intraoral finger insertion and pressure on the bowl part and the young life was saved. The case highlights the importance as well as limitation of laryngeal mask airway (LMA) in deformed anatomy with a point to ponder, how to deal with such situation preemptively in resource-limited setups?
Keywords: Airway Obstruction, Airway Devices, Neck Mass, Emergency Care, General Anesthesia
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