Anesth Analg 2002;95:1454-1458
© 2002 International Anesthesia Research Society
GENERAL ARTICLES
The Upside-Down Intubating Laryngeal Mask Airway: A Technique for Cases of Fixed Flexed Neck Deformity
Rakesh Kumar, MD,
Prashast, MBBS,
Anupriya Wadhwa, DA, and
S. Akhtar, MD
Department of Anesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi, India
Address correspondence and reprint requests to Rakesh Kumar, C-334 Saraswati Vihar, Delhi-110 034, India. Address e-mail to rakeshrampal{at}hotmail.com
IMPLICATIONS: When the neck is fixed in extreme flexion, access to the windpipe becomes very difficult. The intubating laryngeal mask airway (ILMA) appears unsuitable for guiding the breathing tube into the windpipe in such cases because of its rigid, preformed shape. However, the ILMA introduced upside down may provide the answer, even if the mouth opening is smaller than normal.
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Anesth. Analg.,
September 1, 2003;
97(3):
921 - 921.
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