Use of the ProSeal Laryngeal Mask Airway to initiate ventilation during intensive care and subsequent percutaneous tracheostomy.
The ProSeal Laryngeal Mask Airway is a supraglottic airway that aims to provide improved airway seal and separation of the gastrointestinal and respiratory tracts. We report two cases in which the ProSeal Laryngeal Mask Airway was used to initiate controlled ventilation in the intensive care unit and subsequently provide airway maintenance during percutaneous dilational tracheostomy. The first case involved a patient with a known difficult airway who had previously been impossible to intubate conventionally. In both cases, airway management and subsequent tracheostomy were performed without complication.
Cook
Tim M
TM
Department of Anaesthesia, Royal United Hospital, Bath, United Kingdom.
Taylor
Matt
M
McKinstry
Caleb
C
Laver
Stephen R
SR
Nolan
Jerry P
JP
D000328:Adult; D001906:Botulism / Q000150:complications; D001999:Bronchoscopy; D003422:Critical Care; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D011175:Positive-Pressure Respiration / Q000379:methods*; D012131:Respiratory Insufficiency / Q000139:chemically induced / Q000628:therapy*; D012772:Shock, Septic / Q000150:complications; D015819:Substance Abuse, Intravenous / Q000150:complications; D014139:Tracheostomy / Q000379:methods*