• Anesthesia and analgesia · Mar 2005

    Case Reports

    The use of a laryngeal mask airway for emergent airway management in a prone child.

    • R Scott Dingeman, Liliana C Goumnerova, and Susan M Goobie.
    • Department of Anesthesiology, Children's Hospital, Boston, MA 02115, USA. scott@dingeman.com
    • Anesth. Analg. 2005 Mar 1;100(3):670-1, table of contents.

    AbstractA 5-yr-old girl with Arnold-Chiari Malformation, Type 1, was accidentally tracheally extubated while positioned prone in a Mayfield neurosurgical headrest during a decompressive craniectomy and cervical laminectomy. While preparations were being made to return the patient to the supine position for reintubation, we placed a laryngeal mask airway (LMA) without difficulty. The child was kept in the prone position with the LMA in place using positive-pressure ventilation for the remainder of the operation. This case report emphasizes the practical, emergent use of a LMA to secure the airway of a pediatric patient in the prone position after accidental extubation.

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