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British Journal of Anaesthesia, 2002, Vol. 88, No. 2 296-297
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Mechanical closure of the vocal cords with the laryngeal mask airway ProSealTM

J. Brimacombe*,1, C. Richardson1, C. Keller2 and S. Donald1

1University of Queensland, Department of Anaesthesia and Intensive Care, Cairns Base Hospital, The Esplanade, Cairns 4870, Australia. 2Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, A-6020 Innsbruck, Austria*Corresponding author

{dagger}LMA® is the property of Intavant Limited.

We report a case of mechanical closure of the vocal cords with the laryngeal mask airway ProSealTM (PLMA) in an anaesthetized, paralysed 59-yr-old, 88 kg female undergoing lower-limb vascular surgery. Near-complete airway obstruction developed after a size-5 PLMA was inserted and the cuff inflated with 20 ml of air. Fibreoptic inspection revealed that the PLMA was correctly positioned, but the vocal cords were closed. Withdrawal of air from the cuff and/or moving the head and neck into the sniffing position resolved this problem.

Br J Anaesth 2002; 88: 296–7


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