Korean J Crit Care Med.  2002 Jun;17(1):38-41.

Use of Laryngeal Mask Airway ProsealTM in a Total Thyroidectomy for Huge Thyroid Tumor: A case report

• Kim HS
• Kim YH
• Nam HW

Abstract

This is a case of anesthesia for a 49 year old woman with huge thyroid tumor who was admitted for total thyroidectomy. General anesthesia for thyroidectomy has traditionally involved tracheal intubation. But, we failed orotracheal intubation as in ability to insert a tracheal tube from the oropharynx into the trachea. After laryngoscopy was attempted three times, a laryngeal mask airway ProSealTM (PLMATM), size 3, was requested. The device was passed easily, and a patent airway was obtained. During general anesthesia, patient was mechanically ventilated through the PLMATM to airway pressures of approximately 20 cmH2O and positive pressure ventilation without air leaks was possible. Total thyroidectomy was performed without hypoxia and hypercarbia.

Keyword

Laryngeal mask airway; ProSeal; Thyroidectomy

MeSH Terms

Anesthesia
Anesthesia, General
Anoxia
Female
Humans
Intubation
Laryngeal Masks*
Laryngoscopy
Middle Aged
Oropharynx
Positive-Pressure Respiration
Thyroid Gland*
Thyroidectomy*
Trachea