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BJA Advance Access published online on July 9, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh228
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted May 25, 2004

Case Report

Aspiration and the laryngeal mask airway: three cases and a review of the literature{dagger}

C. Keller 1, J. Brimacombe 2*, J. Bittersohl 3, P. Lirk 1, A. von Goedecke 1

1 Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, Innsbruck, Austria
2 James Cook University, Department of Anaesthesia and Intensive Care, Cairns Base Hospital, Australia
3 Department of Anaesthesiology and Intensive Care Medicine, Philipps-University, Marburg, Germany

* To whom correspondence should be addressed. E-mail: jbrimaco{at}bigpond.net.au.


  Abstract

The primary limitation of the laryngeal mask airway (LMA®){ddagger} is that it does not reliably protect the lungs from regurgitated stomach content. We describe three cases of aspiration associated with the LMA, including the first brain injury, the first death, and the first associated with the intubating LMA, and review the 20 specific case reports of aspiration associated with the LMA that we were able to find described in the literature.

Keywords: complications, aspiration pneumonitis; complications, mortality; equipment, masks, laryngeal mask airway.

{dagger} This article is accompanied by Editoral II.

{ddagger} LMA® is the property of Intavent Ltd.


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