[Severe aspiration pneumonia with the laryngeal mask].
The anaesthesia management of a 10-year old girl with a fracture to her distal arm is presented, using inhalational anaesthesia with a laryngeal mask and a supplementary axillary plexus block. Due to light anaesthesia the patient vomited during the course of surgery resulting in a severe pulmonary aspiration necessitating four days of mechanical ventilation in the ICU. The safety of the laryngeal mask airway for emergency surgery is discussed.
Lussmann
R F
RF
Institut für Anästhesie und Reanimation, Kantonsspital Luzern.
Gerber
H R
HR
D000769:Anesthesia, Inhalation; D002648:Child; D005260:Female; D005543:Forearm Injuries / Q000601:surgery; D005593:Fracture Fixation, Internal; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks / Q000009:adverse effects*; D011015:Pneumonia, Aspiration / Q000209:etiology*