J Korean Dent Soc Anesthesiol.  2013 Dec;13(4):221-224. 10.17245/jkdsa.2013.13.4.221.

Airway Management with Reinforced Laryngeal Mask Airway in a Child with Hypoplastic Left Heart Syndrome

Affiliations
  • 1Department of Pediatric Dentistry, Seoul National University Dental Hospital, Seoul, Korea. snmc94@snu.ac.kr
  • 2Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea.

Abstract

Despite the laryngeal mask airway (LMA) has been widely used in anesthesia, its use is rare in the field of dentistry. Placing LMA in the oral cavity may interrupt dental treatment. However, there are some circumstances in which LMA is more advantageous than tracheal intubation for managing the airway. Especially, the reinforced LMA has a flexible tube shaft, rendering it more accessible for dental treatment. We report a case of dental treatment of a 3-year-old patient with hypoplastic left heart syndrome combined with pulmonary hypertension using reinforced LMA for airway management under general anesthesia. We also discuss the considerations of utilizing the reinforced LMA for dental treatment.

Keyword

Dental care; Hypoplastic left heart syndrome; Laryngeal mask airway

MeSH Terms

Airway Management*
Anesthesia
Anesthesia, General
Child*
Child, Preschool
Dental Care
Dentistry
Humans
Hypertension, Pulmonary
Hypoplastic Left Heart Syndrome*
Intubation
Laryngeal Masks*
Mouth
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