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CRITICAL CARE AND TRAUMA

Use of the ProSeal Laryngeal Mask Airway to Initiate Ventilation During Intensive Care and Subsequent Percutaneous Tracheostomy

Department of Anaesthesia, Royal United Hospital, Bath, United Kingdom

Address correspondence and reprint requests to T.M. Cook, Department of Anaesthesia, Royal United Hospital, Combe Park, Bath BA1 3NG, England. Address e-mail to timcook{at}ukgateway.net

The ProSeal Laryngeal Mask Airway is a supraglottic airway that aims to provide improved airway seal and separation of the gastrointestinal and respiratory tracts. We report two cases in which the ProSeal Laryngeal Mask Airway was used to initiate controlled ventilation in the intensive care unit and subsequently provide airway maintenance during percutaneous dilational tracheostomy. The first case involved a patient with a known difficult airway who had previously been impossible to intubate conventionally. In both cases, airway management and subsequent tracheostomy were performed without complication.

IMPLICATIONS: This report details the management of two patients requiring mechanical ventilation in an intensive care unit. Both were managed with a new airway device, the ProSeal Laryngeal Mask Airway. This device allowed mechanical ventilation and performance of a tracheostomy at the bedside without requiring placement of a tube inside the patient’s trachea.

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