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Anesth Analg 2005;100:670-671
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000146512.48688.FA

PEDIATRIC ANESTHESIA

The Use of a Laryngeal Mask Airway for Emergent Airway Management in a Prone Child

R. Scott Dingeman, MD, Liliana C. Goumnerova, MD, and Susan M. Goobie, MD, FRCPC

Departments of Anesthesiology, Perioperative and Pain Medicine and Neurosurgery; Children’s Hospital Boston, Harvard Medical School, Boston, Massachusetts

Address correspondence and reprint requests to R. Scott Dingeman, MD, Department of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital, 300 Longwood Ave., Boston, MA 02115. Address e-mail to scott{at}dingeman.com.

A 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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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.