Korean J Crit Care Med.  2004 Jun;19(1):47-51.

Use of Laryngeal Mask Airway Proseal for Stereotactic Biopsy of Brain Tumor in which Difficult Intubation was Expected under General Anesthesia: A Case Report

• Kim YH
• Kim HS
• Mun SH
• Lee HS

Abstract

Stereotactic surgery is a technique allowing the operation of an intracranial lesion without the need for craniotomy. Now stereotactic technique is widely used for aspiration of brain abscess or hemorrhage, biopsy of brain tumor and treatment of movement disorder etc. Because of the frame of stereotactic system, that is fixed on the scalp, laryngoscopic endotracheal intubation may be disturbed. So, in this case, we used laryngeal mask airway Proseal (PLMA(TM)) for maintenance of airway during stereotactic biopsy of brain tumor under general anesthesia. It was easily to insert PLMA(TM) using the introducer at once. The ventilation during the operation was not impeded at all time. There were not excessively changes of vital sign during general anesthesia. We think that PLMA(TM) may be a good alternative method for maintenance of airway during stereotactic surgery under general anesthesia.

Keyword

Laryngeal mask airway Proseal; Stereotactic surgery

MeSH Terms

Anesthesia, General*
Biopsy*
Brain Abscess
Brain Neoplasms*
Brain*
Craniotomy
Hemorrhage
Intubation*
Intubation, Intratracheal
Laryngeal Masks*
Movement Disorders
Scalp
Stereotaxic Techniques
Ventilation
Vital Signs