Anaesthetists and pulmonologists are well trained to follow the “can’t intubate, can’t oxygenate” (CICO) protocol but procedure is rarely practised. This case report concerns an elective patient scheduled for endobronchial ultrasound bronchoscopy (EBUS) because of suspected sarcoidosis. Based on known medical history, anaesthesia EBUS was initiated with a laryngeal mask. The airway turned out b...

following use of a laryngeal mask airway. Anaesthesia 1994; 49: 786–787. 3. Stewart A, Lindsay WA. Bilateral hypoglossal nerve injury following the use of the laryngeal mask airway. Anaesthesia 2002; 57: 264–265. 4. Sommer M, Schuldt M, Runge U, Gielen-Wijffels S, Marcus MA. Bilateral hypoglossal nerve injury following the use of the laryngeal mask without the use of nitrous oxide. Acta Anaesth...

BACKGROUND Correct placement of a laryngeal mask airway (LMA) requires confirmation to appreciate the adequacy of laryngeal seal and pulmonary ventilation. OBJECTIVES The present study was designed to assess the feasibility of ultrasound use for confirmation of correct placement of LMA and its correlation with fiberoptic laryngoscopy as a confirmation tool for LMA position. MATERIALS AND ME...

BACKGROUND Out-of-hospital airway management is a critical skill, demanding expert knowledge and experience. The intubating laryngeal mask airway (ILMA) is a ventilatory and intubating device which may be of value in this arena. We evaluated the ILMA for out-of-hospital management of the difficult airway. METHODS Twenty-one anaesthesia-trained emergency physicians (EPs) completed a training p...

BACKGROUND AND OBJECTIVES Problems with pediatric airways are among the greatest challenges an anesthesiologist can face. Laryngeal spasm, which is twice or three times more frequent in the pediatric population, is paramount. The objective of this work was to report the treatment of laryngeal spasm applying digital pressure on a specific area behind the ear lobe. The technique is old, easy, but...

BACKGROUND AND OBJECTIVES Moebius sequence (MS) is a rare paralysis of the VI and VII cranial nerves. Craniofacial changes, which can hinder tracheal intubation considerably, are seen in approximately 90% of the patients. CASE REPORT A male patient, 2 years and 5 months old, with MS, underwent flexible bronchoscopy for evaluation of laryngotracheomalacia. Comorbidities: bronchospasm and inter...

Laryngeal mask is a supraglothic instrument for ventilation of patients who are under anesthesia. Insertion of laryngeal mask requires maintaining sufficient depth of anesthesia to avoid airway reflex (gagging, coughing and spasms). The present study investigated two techniques of anesthesia with propofol-atracurium and thiopental-atracurium to facilitate insertion of the laryngeal mask, term o...

1 Brimacombe J, Richardson C, Keller C, Donald S. Mechanical closure of the vocal cords with the laryngeal mask airway ProSeal. Br J Anaesth 2002; 88: 296–7 2 Kawauchi Y, Nakazawa K, Ishibashi S, Kaneko Y, Ishikawa S, Makita K. Unilateral recurrent laryngeal nerve neuropraxia following placement of a ProSeal laryngeal mask airway in a patient with CREST syndrome. Acta Anaesthesiol Scand 2005; 4...