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  • Title: The Proseal LMA is a useful rescue device during failed rapid sequence intubation: two additional cases.
    Author: Cook TM, Brooks TS, Van der Westhuizen J, Clarke M.
    Journal: Can J Anaesth; 2005; 52(6):630-3. PubMed ID: 15983151.
    Abstract:
    PURPOSE: We report two cases where the ProSeal laryngeal mask airway (PLMA) was successfully used as a rescue device, after failed tracheal intubation, during rapid sequence induction. CLINICAL FINDINGS: The first case involved a 31-yr-old primigravida presenting for emergency Cesarean section for severe fetal distress. She had a grade 3 larynx and airway edema was observed during laryngoscopy. Attempts with a McCoy blade and gum elastic bougie failed to secure the airway. A size 4 PLMA was inserted with good airway control and surgery proceeded uneventfully. The second case involved a 51-yr-old man presenting for appendectomy. Following failed attempts at intubation, a size 5 PLMA was successful in securing his airway and surgery proceeded uneventfully. CONCLUSIONS: The correctly placed PLMA has potential advantages over the cLMA for airway rescue in the circumstance of failed emergency intubation in a patient with a potentially full stomach. In the two cases reported, the PLMA provided effective rescue of the airway.
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