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Unanticipated difficult airway after prolonged use of a laryngeal mask airway
Journal article   Open access   Peer reviewed

Unanticipated difficult airway after prolonged use of a laryngeal mask airway

Claudia Lorente, Edgar Kiss, Galit Kastner, Vedanta Singh Dariya, Patrick Olomu and Peter Szmuk
Pediatric anesthesia, Vol.34(4), pp.371-373
04/2024
DOI: 10.1111/pan.14813
PMID: 38063288
url
https://doi.org/10.1111/pan.14813View
Published (Version of record) Open Access

Abstract

The laryngeal mask airway (LMA) is recognized as a safe alternative to endotracheal intubation for short‐term airway maintenance. In this case report we present the case of a term neonate with upper airway obstruction which was managed with a deflated LMA for 7 consecutive days. Despite previous reports of extended LMA use in neonates without complications, this patient experienced significant pharyngeal mucosal injury and edema, leading to difficulty with subsequent intubation attempts.
airway edema airway management infant laryngeal masks newborn pediatric difficult airway pharyngeal edema

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