Failed ventilation with LMA Proseal® in a patient with sleep apnea syndrome

  • Anju Ghai Department of Anesthesiology and Critical Care
  • Sarla Hooda Department of Anesthesiology and Critical Care
  • Raman Wadhera Department of Ear, Nose & Throat
  • Nandita Kad Department of Anesthesiology and Critical Care
  • Nidhi Garg Department of Anesthesiology and Critical Care
Keywords: LMA Proseal, (PLMA®, LMA Classic®, Sleep apnea syndrome, Positive pressure ventilation, Supraglottic device

Abstract

Patients with sleep apnea syndrome (SAS) have excessive adipose tissue in oropharynx which can obstruct the
airway. A high prevalence of difficult intubation has been reported in these patients and an association between
the severity of SAS and difficult intubation has been suggested. LMA Proseal® (LMA Company, USA) has been
launched as a better alternative to LMA classic, as it provides good airway seal due to its modified cuff. The
improved seal of LMA Proseal® (PLMA®) has an advantage in obese patients where higher airway pressures are
required for positive pressure ventilation. We found that LMA Classic® provided better airway management than
PLMA® in one of our obese patients with SAS.

Published
01-30-2019
How to Cite
Ghai, A., Hooda, S., Wadhera, R., Kad, N., & Garg, N. (2019). Failed ventilation with LMA Proseal® in a patient with sleep apnea syndrome. Anaesthesia, Pain & Intensive Care, 94-96. Retrieved from https://mail.apicareonline.com/index.php/APIC/article/view/472
Section
Case Reports