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BJA Advance Access originally published online on January 5, 2008
British Journal of Anaesthesia 2008 100(2):275-277; doi:10.1093/bja/aem367
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Evidence of pulmonary aspiration during difficult airway management of a morbidly obese patient with the LMA CTrachTM

W. Abdi, S. Ndoko, R. Amathieu and G. Dhonneur*

Department of Anaesthesiology and Intensive Care Medicine, Jean Verdier University Hospital of Paris (APHP), Av du 14 Juillet, 93143 Bondy, France. Paris 13 School of Medicine, 93000 Bobigny, France

* Corresponding author: Département d'Anesthésie et Réanimation, CHU (APHP) Jean Verdier, Av du 14 Juillet, 93143 Bondy, France. E-mail: gilles.dhonneur{at}jvr.aphp.fr

We describe a pulmonary aspiration that occurred during tracheal intubation with the LMA CTrachTM (SEBAC, Pantin, France) in a male morbidly obese patient (178 cm height, BMI=48 kg m–2) admitted for elective gastric banding. Our report suggests that manipulations of the CTrachTM such as Up-manoeuvre may lead to pulmonary aspiration in the case of regurgitated gastric content.

Keywords: airway, complications; complications, aspiration; complications, obesity


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