Abstract
Background: The laryngeal mask airway (LMA) has become popular due to simplicity of its use and its important function in difficult airway management. However, some complications have been associated with its use. A case report and review of literature on hiccups associated with the use of LMA is presented. Case Report: A 24-year-old man who presented with a right inguinoscrotal hernia was scheduled for elective surgery under general anaesthesia. He denied any co-existing medical illness. Physical examination showed a normal healthy patient and he was placed in class 1 of the American Society of Anesthesiologist (ASA) physical status category. After premedication with 0.6 mg atropine, general anaesthesia was induced with 200 mg of intravenous propofol. Size 5 classic LMA was inserted, and surgery had lasted for 45 minutes. He had hiccups immediately after removal of the LMA which lasted for 6 minutes, and stopped about 95 seconds after 0.6 mg intravenous atropine was given. Conclusion: Complications from the use of LMA may be rare but still possible. It is important to adhere to the guidelines for insertion and removal of the LMA and perioperative use of the device should strictly be by trained personnel.
Highlights
The routine practice of airway management as a whole was changed by the introduction of the classic laryngeal mask airway (LMA) by Brain in 1983 [1]
We present a case report and a review of the literature on hiccup associated with the use of the laryngeal mask airway
Hiccups that developed after inserting a laryngeal mask airway following induction of anaesthesia with propofol have been reported by many workers [10]-[12]
Summary
The routine practice of airway management as a whole was changed by the introduction of the classic laryngeal mask airway (LMA) by Brain in 1983 [1]. How to cite this paper: Nwagwu, C.C. and Ebirim, L.N. After LMA insertion, hiccup has been observed in 2% to 14% of patients [5].
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