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Canadian Journal of Anesthesia 50:78-80 (2003)
© Canadian Anesthesiologists' Society, 2003
Cardiothoracic Anesthesia, Respiration and Airway

Protection from aspiration with the LMA-ProSealTM after vomiting: a case report

[La protection contre l’aspiration avec le ML-ProSealTM après des vomissements : une étude de cas]

David A. Mark, MD FRCPC

From the Department of Anesthesiology, Kingston General Hospital, Kingston, Ontario, Canada.

Address correspondence to: Dr. David A. Mark, Department of Anesthesiology, Kingston General Hospital, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada. Phone: 613-548-7827; Fax: 613-548-1375; E-mail: markd{at}kgh.kari.net

Objectif : Décrire un cas de vomissements en présence du masque laryngé ProSealTM (MLP) in situ. Les nouvelles particularités du MLP et leur rôle dans la protection contre l’aspiration sont discutés.

Éléments cliniques : Une femme de 27 ans a subi une mammoplastie de réduction bilatérale sous anesthésie générale avec emploi d’un MLP pour l’ouverture des voies aériennes. Pendant le transfert à la salle de réveil, elle a eu des vomissements et le MLP était toujours en place. Les vomissement ont été évacués grâce à l’orifice de drainage protégeant le pharynx. Il n’y a pas eu de signe évident d’aspiration et la patiente a connu une récupération sans incident.

Conclusion : Ce cas apporte la preuve que le drain du MLP a permis de retirer les vomissements des vois aériennes quand il est bien mis en place. Il peut empêcher l’aspiration chez un patient anesthésié.




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This Article
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