Abstract
The laryngeal mask airway (LMA) is a supraglottic device that is open to the laryngeal inlet and is used to maintain a patent airway during inhalational anesthesia. Use of an LMA in combination with a flexible fiberoptic bronchoscope (FFB) has opened new possibilities to safely and effectively visualize and manage lesions of the laryngo-tracheal region. Further, the LMA and FFB in combination with a fiberoptic laser have been described to successfully diagnose and treat airway lesions. We describe the application of this anesthetic technique for 8 patients undergoing holmium:YAG (yttrium aluminum garnet) laser bronchoscopy for glottic, subglottic, and tracheal lesions. For this patient population, we found this application to be an exceptionally versatile technique, providing adequate airway protection while permitting spontaneous and/or assisted ventilation without obscuring the airway lesions.
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