BJA Advance Access originally published online on January 5, 2008
British Journal of Anaesthesia 2008 100(2):275-277; doi:10.1093/bja/aem367
Evidence of pulmonary aspiration during difficult airway management of a morbidly obese patient with the LMA CTrachTM
Department of Anaesthesiology and Intensive Care Medicine, Jean Verdier University Hospital of Paris (APHP), Av du 14 Juillet, 93143 Bondy, France. Paris 13 School of Medicine, 93000 Bobigny, France
* Corresponding author: Département d'Anesthésie et Réanimation, CHU (APHP) Jean Verdier, Av du 14 Juillet, 93143 Bondy, France. E-mail: gilles.dhonneur{at}jvr.aphp.fr
We describe a pulmonary aspiration that occurred during tracheal intubation with the LMA CTrachTM (SEBAC, Pantin, France) in a male morbidly obese patient (178 cm height, BMI=48 kg m–2) admitted for elective gastric banding. Our report suggests that manipulations of the CTrachTM such as Up-manoeuvre may lead to pulmonary aspiration in the case of regurgitated gastric content.
Keywords: airway, complications; complications, aspiration; complications, obesity