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ACC : Acute and Critical Care



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HOME > Acute Crit Care > Volume 17(1); 2002 > Article
Case Report Use of Laryngeal Mask Airway ProsealTM in a Total Thyroidectomy for Huge Thyroid Tumor: A case report
Hyun Soo Kim, Yun Hong Kim, Hyun Woo Nam

Department of Anesthesiology, Kang Buk Samsung Hospital, SungKyunKwan University College of Medicine, Seoul, Korea.
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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.

ACC : Acute and Critical Care