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Anesth Analg 2003;97:1192-1194
© 2003 International Anesthesia Research Society

GENERAL ARTICLES

Aspiration of Gastric Contents During Use of a ProSealTM Laryngeal Mask Airway Secondary to Unidentified Foldover Malposition

Joseph Brimacombe, MB ChB, FRCA, MD*, and Christian Keller, MD{dagger}

*Department of Anaesthesia and Intensive Care, James Cook University, Cairns Base Hospital, Australia; and {dagger}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 ProSealTM 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 ProSealTM 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 ProSealTM laryngeal mask.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.