Abstract
The use of a laryngeal mask airway (LMA) and a bi-level positive airway pressure (BiPAP®) machine is described in a postoperative thoracotomy patient with reactive airway disease. The LMA was placed to avoid reintubation of the trachea after a double lumen tube was no longer necessary. Placement in an awakening patient and positive-pressure ventilatory support were well tolerated and did not trigger a bronchospastic response. The patient was able to cough and breathe deeply with the LMA while receiving ventilatory assistance in the postanaesthesia care unit (PACU). The LMA is a therapeutic option to tracheal reintubation in patients who need postoperative ventilatory support after one-lung anaesthesia.
Résumé
Le masque laryngé (ML) associé à un appareil de pression positive à deux paliers (BIPAP®) est utilisé après une thoracotomie chez un patient souffrant d’une hyperéactivité des voies respiratoires. Le ML est installé pour éviter une réintubation trachéale après l’ablation de la canule bronchique à deux lumières. La mise en place en phase de réveil et l’aide ventilatoire sont bien tolérées et ne déclenchent pas de bronchospasme. A l’unité de soins postanesthésique, le patient est capable de tousser et de respirer profondément avec un ML. Le ML peut remplacer la réintubation trachéale chez les patients dont l’état nécessite une assistance ventilatoire après une anesthésie unipulmonaire.
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Groudine, S.B., Lumb, P.D. & Sandison, M.R. Pressure support ventilation with the laryngeal mask airway: a method to manage severe reactive airway disease postoperatively. Can J Anaesth 42, 341–343 (1995). https://doi.org/10.1007/BF03010712
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DOI: https://doi.org/10.1007/BF03010712