Ambu® Auragain™, an alternative supraglottic airway device for airway management in prone position

Abstract

A 24-year-old male, operated at the age of 4 years for congenital meningomyelocoele, later developed kyphoscoliosis and flaccid paraplegia. He presented to us for debridement of a bedsore in the left gluteal region. Such cases can pose a challenge for anaesthesia both because of the higher chances of pulmonary complications due to pulmonary hypertension and severe restrictive lung pathology and increased sensitivity to muscle relaxants. This case highlights the successful airway management in the prone position with Ambu® AuraGain™, a second-generation laryngeal mask airway, which completely obviated the requirement of intubation and neuromuscular relaxation for a procedure of short duration without increasing the morbidity.