Abstract
This case details the successful use of a ProSeal™ Laryngeal Mask Airway (PLMA) in managing a patient presented for laparoscopy emergency abdominal surgery via. A 42-yr-old, ASA physical status II male patient with suspected perforation of a peptic ulcer presented as an emergency abdominal surgery. The PLMA enabled rapid establishment of a clear airway early in anaesthetic induction, controlled ventilation and safe airway maintenance undergoing surgery.
Highlights
Pulmonary aspiration of gastric contents during general anesthesia is a rare event during elective surgery while the incidence increases in emergency surgery [1]
We describe the use of the Proseal Laryngeal Mask airway (PLMATM, Laryngeal Mask Company, Henley-on-Thames, UK) in a patient presenting for emergency abdominal surgery, without the occurrence of aspiration
A 42-yr-old, ASA physical status II male patient with suspected perforation of a peptic ulcer presented for emergency abdominal laparoscopic surgery
Summary
Pulmonary aspiration of gastric contents during general anesthesia is a rare event during elective surgery while the incidence increases in emergency surgery [1]. We describe the use of the Proseal Laryngeal Mask airway (PLMATM, Laryngeal Mask Company, Henley-on-Thames, UK) in a patient presenting for emergency abdominal surgery, without the occurrence of aspiration. A 42-yr-old, ASA physical status II male patient with suspected perforation of a peptic ulcer presented for emergency abdominal laparoscopic surgery. He was 175 cm tall and weighed 70 kg (body mass index 23 kgm–2). The lungs were ventilated using oxygen and air by volumecontrolled ventilation (VCV) without difficulty (respiratory rate 12 breaths/min, inspiratory: expiratory ratio 1:1, PEEP: 4 cmH2O, endtidal CO2 35 mmHg, no airway leak on spirometry). The surgeon required the introduction of 300 ml of methylene blue through the nasogastric tube to check the integrity of the intestinal closure, Figure 1.
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