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SPECIAL ARTICLE
Year : 2009  |  Volume : 53  |  Issue : 4  |  Page : 414-424

Troubleshooting ProSeal LMA


1 Senior Consultant, Department of Anaesthesiology, Pain and PerioperativeMedicine, Sir Ganga RamHospital,Old Rajinder Nagar,New Delhi-110 060, India
2 Senior Consultant, Chairperson, Department of Anaesthesiology, Pain and PerioperativeMedicine, Sir Ganga RamHospital,Old Rajinder Nagar,New Delhi-110 060, India
3 Emeritus Consultant, Department of Anaesthesiology, Pain and PerioperativeMedicine, Sir Ganga RamHospital,Old Rajinder Nagar,New Delhi-110 060, India

Correspondence Address:
Bimla Sharma
Department of Anaesthesiology, Pain and PerioperativeMedicine, Sir Ganga RamHospital, Old Rajinder Nagar, New Delhi-110060
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640203

Rights and PermissionsRights and Permissions

Supraglottic devices have changed the face of the airway management. These devices have contributed in a big way in airway management especially, in the difficult airway scenario significantly decreasing the pharyngolaryngeal morbidity. There is a plethora of these devices, which has been well matched by their wider acceptance in clinical practice. ProSeal laryngeal mask airway (PLMA) is one such frequently used device employed for spontaneous as well as controlled ventilation. However, the use of PLMAat tunes maybe associated with certain problems. Some of the problems related with its use are unique while others are akin to the classic laryngeal mask airway (eLMA). However, expertise is needed for its safe and judicious use, correct placement, recognition and management of its various malpositions and complications. The present article describes the tests employed for proper confirmation of placementto assess the ventilatooy and the drain tube functions of the mask, diagnosis of various malpositions and the management of these aspects. All these areas have been highlighted under the heading of troubleshooting PLMA. Many problems can be solved by proper patient and procedure selection, maintaining adequate depth of anaesthesia, diagnosis and management of malpositions. Proper fixation of the device and monitoring cuff pressure intraopera­tively may bring down the incidence of airway morbidity.


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