Campus Bio-Medico technique for nasolaryngeal ventilation with reinforced laryngeal mask in dental surgery: a patient report.
The authors report the usefulness of a prototype nasal laryngeal mask airway (LMA) used successfully in a disabled 20-year-old woman with severe psychomotor retardation and a compromised airway with predictable indexes of impossible tracheal intubation in direct laryngoscopy. A 16-ch Foley catheter was inserted through the patient's left nostril and guided through her mouth. A size-3 reinforced LMA was positioned and connected to the distal end of the catheter. The LMA-reinforced tube was removed in a retrograde fashion by pulling the catheter up with the patient breathing spontaneously. The duration of the entire operation was 3 hours 20 minutes, and the patient was able to breathe spontaneously and at a 98% saturation average. Nasal reinforced LMA seems to be an interesting solution in patients undergoing 1-day dental or maxillofacial surgery, but is especially appropriate when nasotracheal intubation is too invasive or technically impossible.
Department of Anaesthesiology and Intensive Care, University School of Medicine, Rome, Italy.
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Agró
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Marchionni
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De Ponte
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Favaro
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Carassiti
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Cataldo
D000328:Adult; D000766:Anesthesia, Dental / Q000295:instrumentation*; D003730:Dental Care for Persons with Disabilities; D005260:Female; D006801:Humans; D008607:Intellectual Disability; D017214:Laryngeal Masks; D012390:Root Canal Therapy; D014081:Tooth Extraction