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British Journal of Anaesthesia, 2003, Vol. 90, No. 5 702-703
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Correspondence

Neurological deterioration after laryngeal mask insertion

I. Calder1, A. M. McLeod1, T. Asai2, K. Shingu2, C. J. Edge3, V. Addy3 and C. Kearns3

1 London, UK 2 Osaka, Japan 3 Oxford, UK

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

The first 10% of the full text of this article appears below.

Editor—We feel that aspects of the case report by Edge and colleagues, describing a man who became tetraparetic after a laparoscopic cholecystectomy,1 are unsatisfactory.

The title and introduction of the report suggest that the insertion of an LMA{dagger} was related to the neurological deterioration suffered by the patient. However, in the discussion, Edge and colleagues state that ‘neck manipulation as a result of ... insertion of the LMA cannot be blamed’. Readers are entitled to know whether the authors believe that the LMA had anything to do with the neurological deterioration or not.

Edge and colleagues repeatedly described their patient’s spine as unstable, presumably because of the rupture of the posterior longitudinal ligament . . . [Full Text of this Article]


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