title: Application of nasal flexible laryngeal mask airway in anesthesia for oral surgery.
abstract: The laryngeal mask airway has been used increasingly in clinics but is seldom applied in anesthesia for oral surgery, as the mask occupies the middle of the mouth and tends to obstruct the surgical field. Here, we report the successful placement and usage of a nasal flexible laryngeal mask airway (FLMA) in an oral surgical procedure. Fifteen patients undergoing dental procedures under general anesthesia were studied. We clinically applied a previously reported method for inserting an FLMA with some modifications. There was no significant bleeding from the intubated nostril in any of the patients. None of the patients complained of sore throat, coughing, hoarseness, or any discomfort in the nose. Although we anticipate that further refinements of the technique may be possible and that the safety of this method using a nasal FLMA needs to be assessed in a greater number of patients, in this preliminary study we provide a proof-of-principle demonstration of the efficacy of nasal LMA ventilation as a method of airway management for oral surgery.
authors.affiliation: Division of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, Kanagawa, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Arisaka
authors.forename: Masanao
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Munetaka
authors.initials: M
authors.lastname: Furuya
authors.forename: Shigeki
authors.initials: S
authors.lastname: Sakuraba
authors.forename: Kazu-Ichi
authors.initials: K
authors.lastname: Yoshida
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000768:Anesthesia, General / Q000295:instrumentation* / Q000379:methods; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D004867:Equipment Design / Q000379:methods; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D008297:Male; D008738:Methyl Ethers / Q000008:administration & dosage; D008875:Middle Aged; D009296:Nasal Cavity; D009609:Nitrous Oxide / Q000008:administration & dosage; D019647:Oral Surgical Procedures / Q000379:methods*; D010100:Oxygen / Q000008:administration & dosage; D018583:Pliability; D015742:Propofol / Q000008:administration & dosage; D000077149:Sevoflurane; D016896:Treatment Outcome
chemical_list: D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D009609:Nitrous Oxide; D010100:Oxygen; D015742:Propofol