Unanticipated difficult airway after prolonged use of a

Paediatric anaesthesia · Apr 2024

Case Reports

Unanticipated difficult airway after prolonged use of a laryngeal mask airway.

The laryngeal mask airway (LMA) is recognized as a safe alternative to endotracheal intubation for short-term airway maintenance. In this case report we present the case of a term neonate with upper airway obstruction which was managed with a deflated LMA for 7 consecutive days. Despite previous reports of extended LMA use in neonates without complications, this patient experienced significant pharyngeal mucosal injury and edema, leading to difficulty with subsequent intubation attempts.

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- Claudia Lorente, Edgar Kiss, Galit Kastner, Vedanta Singh Dariya, Patrick Olomu, and Peter Szmuk.
- Department of Anesthesiology and Pain Management, Division of Anesthesiology, Children's Health System of Texas, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
- Paediatr Anaesth. 2024 Apr 1; 34 (4): 371373371-373.
AbstractThe laryngeal mask airway (LMA) is recognized as a safe alternative to endotracheal intubation for short-term airway maintenance. In this case report we present the case of a term neonate with upper airway obstruction which was managed with a deflated LMA for 7 consecutive days. Despite previous reports of extended LMA use in neonates without complications, this patient experienced significant pharyngeal mucosal injury and edema, leading to difficulty with subsequent intubation attempts.© 2023 The Authors. Pediatric Anesthesia published by John Wiley & Sons Ltd.

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Unanticipated difficult airway after prolonged use of a laryngeal mask airway.

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