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Canadian Journal of Anesthesia 49:439 (2002)
© Canadian Anesthesiologists' Society, 2002

Correspondence

The intubating laryngeal mask airway in severe ankylosing spondylitis

Hwan Joo, MD

Toronto, Ontario

To the Editor:

I would like to congratulate Dr. Lu et al. for their article "The intubating laryngeal mask airway in severe ankylosing spondylitis".1 The article contributes to the growing wealth of information regarding the applicability of the intubating laryngeal mask airway (ILM) in patients with difficult airways by direct laryngoscopy. There is, however, a small mistake in their discussion. They stated that "to our knowledge, this is the first report of ILM insertion following sevoflurane induction." Sevoflurane induction for insertion of ILM has been performed in many patients, both with and without difficult airways.2,3 The first report was back in March of 1998. This example goes to show that good ideas and sound planning are bound to be repeated.

References

1 Lu P-P, Brimacombe J, Ho ACH, Shyr M-H, Liu H-P. The intubating laryngeal mask airway in severe ankylosing spondylitis. Can J Anesth 2001; 48: 1015–9.[Abstract/Free Full Text]

2 Joo H, Rose K. Fastrach—a new intubating laryngeal mask airway: successful use in patients with difficult airways. Can J Anaesth 1998; 45: 253–6.[Abstract]

3 Joo HS, Rose DK. The intubating laryngeal mask airway with and without fiberoptic guidance. Anesth Analg 1999; 88: 662–6.[Abstract/Free Full Text]





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