caa a22 4500 44537358X CHVBK 20180317142955.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00540-011-1112-9 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1112-9 Use of a laryngeal mask airway to stop a supraglottic air leak which prevented adequate ventilation via a tracheostomy in a patient with cerebral palsy and pneumonia [Elektronische Daten] [Satoki Inoue, Ryuichi Abe, Masahiko Kawaguchi, Yasunobu Kawano, Hitoshi Furuya] We report an adolescent developing ventilation failure due to supraglottic air leakage with the use of an uncuffed hand-made tracheal tube fit to her tracheobronchial deformity. To eliminate the supraglottic air leakage, a size 2.5 laryngeal mask airway (LMA) was inserted into the oral pharynx. Most of air leakage arose from the LMA. Supraglottic air leakage was not detected under mandatory mechanical ventilation following sealing of the 15-mm connector of the LMA with a piece of tape, and the respiratory condition of the patient gradually improved. The combination of a hand-made Y-shaped tube and the LMA was useful in restoring adequate ventilation. In conditions where air leaks through the glottis during mechanical ventilation interfere with adequate ventilation or the maintenance of airway pressure, the use of an LMA may be adequate to stop or significantly decrease the leak. Japanese Society of Anesthesiologists, 2011 Laryngeal mask airway nationallicence Tracheostomy nationallicence Uncuffed tube nationallicence Air leakage nationallicence Scoliosis nationallicence Cerebral palsy nationallicence Inoue Satoki Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut Abe Ryuichi Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut Kawaguchi Masahiko Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut Kawano Yasunobu Division of Intensive Care, Nara Medical University, Kashihara, Japan aut Furuya Hitoshi Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut Journal of Anesthesia Springer Japan 25/3(2011-06-01), 415-417 0913-8668 25:3<415 2011 25 540 https://doi.org/10.1007/s00540-011-1112-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1112-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inoue Satoki Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut NATIONALLICENCE 700 1- Abe Ryuichi Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut NATIONALLICENCE 700 1- Kawaguchi Masahiko Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut NATIONALLICENCE 700 1- Kawano Yasunobu Division of Intensive Care, Nara Medical University, Kashihara, Japan aut NATIONALLICENCE 700 1- Furuya Hitoshi Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, 634-8522, Kashihara, Nara, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/3(2011-06-01), 415-417 0913-8668 25:3<415 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer