LARYNGEAL MASK AIRWAY WITH MOUTH OPENING LESS-THAN 20 MM

Citation
Jr. Maltby et al., LARYNGEAL MASK AIRWAY WITH MOUTH OPENING LESS-THAN 20 MM, Canadian journal of anaesthesia, 42(12), 1995, pp. 1140-1142
Citations number
4
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Anesthesiology
ISSN journal
0832-610X
Volume
42
Issue
12
Year of publication
1995
Pages
1140 - 1142
Database
ISI
SICI code
0832-610X(1995)42:12<1140:LMAWMO>2.0.ZU;2-9
Abstract
We describe the use of a laryngeal mask airway in three adult patients whose mouth opening varied from 12 mm to 18 mm. The first patient's i ncisal opening was 12 mm. His airway was otherwise normal and the stan dard laryngeal mask was used as the definitive airway for the 90 min r evision of facial scars and bone graft to mandible. The second patient , who had an incisal opening of 18 mm, was scheduled for posterior fos sa craniotomy. She adamantly refused awake fibreoptic tracheal intubat ion. Following induction of general anaesthesia, a standard laryngeal mask was inserted and through this, fibreoptic intubation was performe d. The third patient, in addition to a mouth opening of only 18 mm, ha d limited neck movement from previous flap reconstruction following ma ndibulectomy, hemiglossectomy and radical neck dissection. For three m ore reconstructive head and neck procedures that ranged from 90 min to nine hours, the flexible reinforced laryngeal mask was inserted under topical anaesthesia and its correct position confirmed by fibreoptic laryngoscopy before induction of general anaesthesia. Maintenance of a naesthesia in all cases was unevenful and there were no postoperative complications.