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GENERAL ARTICLES

Aspiration of Gastric Contents During Use of a ProSeal^TM Laryngeal Mask Airway Secondary to Unidentified Foldover Malposition

Joseph Brimacombe, MB ChB, FRCA, MD^*, and Christian Keller, MD

*Department of Anaesthesia and Intensive Care, James Cook University, Cairns Base Hospital, Australia; and Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, Innsbruck, Austria

Address correspondence and reprint requests to J. Brimacombe, MB, ChB, FRCA, MD, Department of Anesthesia and Intensive Care, Cairns Base Hospital, The Esplanade, Cairns 4870, Australia. Address e-mail to jbrimaco{at}bigpond.net.au

The primary function of the drain tube of the ProSeal^TM laryngeal mask airway (PLMA) is to prevent aspiration of regurgitated stomach contents. We report a case of gastric aspiration with the PLMA during a laparoscopic cholecystectomy in a 64-yr-old healthy man secondary to an unidentified foldover malposition. It is imperative that the position and patency of the drain tube be verified in all patients with the PLMA.

IMPLICATIONS: We report a case of gastric aspiration with the ProSeal^TM laryngeal mask during a laparoscopic cholecystectomy secondary to an unidentified foldover malposition. It is imperative that the position and patency of the drain tube be verified in all patients with the ProSeal^TM laryngeal mask.

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