Limits of laryngeal mask airway in patients after cervical or oral radiotherapy

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
O GiraudV Billard

Abstract

To test the efficacy of the LMA in patients with previous oral or cervical radiotherapy, without upper airway obstruction. In nine patients after oral or cervical radiotherapy, efficiency of ventilation was assessed after induction of general anaesthesia and LMA insertion. Fibreoptic examination through the tube was performed to check the position of LMA. In patients who had had oral radiotherapy, all five had limited mouth opening and in two, LMA insertion was difficult but permitted good ventilation. In the four patients who had had cervical radiotherapy, LMA insertion was easy but, in two, the lungs were difficult to ventilate and, in two, the lungs could not be ventilated and orotracheal intubation was required. In patients with limitation of mouth opening after oral radiotherapy, LMA may represent an alternative to tracheal intubation. In patient with cervical sclerosis after radiotherapy; the use of LMA should be avoided.

Citations

Mar 20, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T AsaiK Shingu
Jan 16, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M T Beriault, J R Maltby
Apr 14, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·O R Hung, I Morris
Oct 18, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Adam LawUNKNOWN Canadian Airway Focus Group
Feb 1, 2000·Annales Françaises D'anesthèsie Et De Rèanimation·A M CrosD Esteben
Jul 10, 2012·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Genaro MaggiFernando Gilsanz Rodriguez
Feb 5, 2014·Anesthesiology Clinics·Gregory J Latham
Sep 21, 2013·Anaesthesia·L PatonD Blacoe
Mar 5, 2010·Paediatric Anaesthesia·Gregory J Latham, Robert S Greenberg
May 23, 2015·Anesthesiology Clinics·Paul Baker
Jun 12, 2009·British Journal of Hospital Medicine·Anjum Ahmed-Nusrath, Mary Mushambi

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