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Canadian Journal of Anesthesia 54:399 (2007)
© Canadian Anesthesiologists' Society, 2007

Correspondence

Another technique to facilitate insertion of the ProSealTM laryngeal mask airway

Michael Beriault, MD

Foothills Medical Centre, Calgary, Canada, E-mail: beriaul{at}telusplanet.net

To the Editor:

I am writing further to Dr. Laurence W. Lee’s correspondence regarding the use of a Satin-Slip® stylet to facilitate ProSeal insertion.1 I have been using a variation of this reported technique for several years now and it is a slight refinement of Dr. Lee’s description. The portion of the stylet that is not advanced into the gastric port (esophageal lumen) can be bent 180° back onto itself to form a short arm. The short arm is advanced into the ventilation port. The configuration of the stylet is now akin to the stylet used for double lumen tube insertion for lung isolation procedures. The advantages of this configuration are that it resists rotation of the ProSeal on its short axis (avoiding direction into a pyriform fossa), prevents the stiff stylet from inadvertently protruding beyond the gastric port distal outlet, and finally, allows the styletted ProSeal to be bent into the same curve as an intubating laryngeal mask airway if the operator prefers that method of insertion.

Footnotes

Accepted for publication January 17, 2007.

Reference

1 Lee LW. Insertion of the LMA ProSealTM using the Satin-Slip® intubating stylet. Can J Anesth 2007; 54: 81–2.[Free Full Text]





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