Negative pressure pulmonary oedema following use of ProSeal LMA

• Main Authors: Richa Jain, Mahendra Kumar, Zainab A Haq, Ashim Banerjee
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Indian Journal of Anaesthesia
• Subjects: Airway obstruction; negative pressure; negative pressure pulmonary oedema; ProSeal laryngeal mask airway
• Online Access: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2013;volume=57;issue=2;spage=188;epage=190;aulast=Jain
• ISSN: 0019-5049

Negative pressure pulmonary oedema (NPPO) is a life threatening condition, manifested due to upper airway obstruction in a spontaneously breathing patient. Upper airway obstruction caused by classic laryngeal mask airway (cLMA) and ProSeal laryngeal mask airway (PLMA) has been reported, and NPPO has also been reported following the use of cLMA. Search of literature did not confirm NPPO following the use of PLMA. We encountered a female patient of NPPO scheduled for incision and drainage of an abscess who had signs of airway obstruction following PLMA insertion. Multiple attempts were made to get patent airway without success. PLMA was replaced with endotracheal tube following which pink frothy secretion appeared in breathing circuit. Patient was managed successfully with ICU care.