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Canadian Journal of Anesthesia, Vol 42, 341-343, Copyright © 1995 by Canadian Anesthesiologists' Society

ARTICLES

Pressure support ventilation with the laryngeal mask airway: a method to manage severe reactive airway disease postoperatively

SB Groudine, PD Lumb and MR Sandison
Department of Anesthesiology, Albany Medical College, NY 12208, USA.

The use of a laryngeal mask airway (LMA) and a bi-level positive airway pressure (BiPAP) machine is described in a post-operative thoracotomy patient with reactive airway disease. The LMA was placed to avoid reintubation of the trachea after a double lumen tube was no longer necessary. Placement in an awakening patient and positive-pressure ventilatory support were well tolerated and did not trigger a bronchospastic response. The patient was able to cough and breathe deeply with the LMA while receiving ventilatory assistance in the post-anaesthesia care unit (PACU). The LMA is a therapeutic option to tracheal reintubation in patients who need postoperative ventilatory support after one-lung anaesthesia.


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Copyright © 1995 by the Canadian Anesthesiologists' Society.