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

See all articles by Sanjay Kumar

Sanjay Kumar

Andaman & Nicobar Islands Institute of Medical Sciences

Habib Md Reazaul Karim

All India Institute of Medical Sciences, Deoghar

Anilkumar Narayan

Andaman & Nicobar Islands Institute of Medical Sciences & GB Pant Hospital

Kriti Chaudhary

Andaman & Nicobar Islands Institute of Medical Sciences

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

Suggested Citation

Kumar, Sanjay and Karim, Habib Md Reazaul and Narayan, Anilkumar and Chaudhary, Kriti, Intraoral Finger Stabilization of Proseal LMA for Adequate Rescue in Cannot Ventilate, Cannot Intubate and Cannot Be Tracheostomized Situation (November 16, 2017). ARC Journal of Anesthesiology. 2017; 2(2):1-4. DOI /2455-9792.0202001., Available at SSRN: https://ssrn.com/abstract=3465149

Sanjay Kumar

Andaman & Nicobar Islands Institute of Medical Sciences

Port Blair
India

Habib Md Reazaul Karim (Contact Author)

All India Institute of Medical Sciences, Deoghar ( email )

Devipur
Deoghar
DEOGHAR, Jharkhand 814152
India
9612372585 (Phone)

Anilkumar Narayan

Andaman & Nicobar Islands Institute of Medical Sciences & GB Pant Hospital ( email )

India

Kriti Chaudhary

Andaman & Nicobar Islands Institute of Medical Sciences

Port Blair
India

Do you have negative results from your research you’d like to share?

Paper statistics

Downloads
21
Abstract Views
213
PlumX Metrics