Use of nasogastric tube in emergency situation to prevent LMA ProSeal down folding: a simple method

Authors

  • Tanmay Tiwari Department of Anesthesia, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, Uttar Pradesh
  • Ashish Kannaujia Department of Anesthesia, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, Uttar Pradesh

Keywords:

LMA ProSeal, PLMA, airway management

Abstract

Securing of airway and prevention of aspiration are of utmost importance during airway management in the field of anesthesia and emergency medicine. Now a days laryngeal mask airways are being very frequently used for securing airway in elective as well as emergency conditions. LMA-ProSeal™ (PLMA) (Laryngeal Mask Company, Henley-on-Thames, UK) has an added advantage over classical LMA (CLMA) as it has gastric port for insertion of Ryle’s tube which allows suctioning of gastric contents. PLMA also allows ventilation with higher pressures so it is preferred over CLMA, The design of the PLMA reliably allows positive pressure ventilation up to 30–40 cm H2O pressure. Use of PLMA is not always a smooth ride and may offer certain difficulties.

References

Maltby JR, Beriault MT, Watson NC, et al. The LMA-ProSeal™ is an effective alternative to tracheal intubation for laparoscopic cholecystectomy. Can J Anaesth 2002;49:857-62.

Brimacombe J, Keller C, Fullekrug B, et al. A multicenter study comparing the ProSeal with the Classic laryngeal mask airway in anesthetized, nonparalyzed patients. Anesthesiology. 2002;96:289-95.

Keller C, Brimacombe J, Kleinsasser A, Brimacombe L. The laryngeal mask airway ProSeal™ as a temporary ventilatory device in grossly and morbidly obese patients before laryngoscope-guided tracheal intubation. Anesth Analg. 2002;94:737-40.

Stix MS, Rodriguez-Sallaberry FE, Cameron EM, et al. Esophageal aspiration of air through the drain tube of the ProSeal laryngeal mask. Anesth Analg. 2001;93:1354-7.

Stix MS, O'Connor CJ. Maximum Minute Ventilation Test for the ProSeal™ Laryngeal Mask Airway.Anesth Analg. 2002;95:1782-7.

Cook TM, Lee G, Nolan JP. The ProSeal™ laryngeal mask airway: A review of the literature. Can J Anaesth. 2005;52:739-60.

Downloads

Published

2017-01-24

How to Cite

Tiwari, T., & Kannaujia, A. (2017). Use of nasogastric tube in emergency situation to prevent LMA ProSeal down folding: a simple method. International Journal of Research in Medical Sciences, 2(3), 1239–1240. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2401

Issue

Section

Letter to the Editor