The use of a laryngeal mask airway for emergent airway management in a prone child.
A 5-yr-old girl with Arnold-Chiari Malformation, Type 1, was accidentally tracheally extubated while positioned prone in a Mayfield neurosurgical headrest during a decompressive craniectomy and cervical laminectomy. While preparations were being made to return the patient to the supine position for reintubation, we placed a laryngeal mask airway (LMA) without difficulty. The child was kept in the prone position with the LMA in place using positive-pressure ventilation for the remainder of the operation. This case report emphasizes the practical, emergent use of a LMA to secure the airway of a pediatric patient in the prone position after accidental extubation.
Dingeman
R Scott
RS
Departments of Anesthesiology, Perioperative and Pain Medicine and Neurosurgery; Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts.
Goumnerova
Liliana C
LC
Goobie
Susan M
SM
D002675:Child, Preschool; D004630:Emergencies; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D016684:Prone Position
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