KMID : 0356920190720060606
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Korean Journal of Anesthesiology 2019 Volume.72 No. 6 p.606 ~ p.609
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Unilateral hypoglossal nerve palsy after the use of laryngeal mask airway (LMA) Protector
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Tham Li Yeen
Beh Zhi Yuen Shariffuddin Ina Ismiarti Wang Chew Yin
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Abstract
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Background: The laryngeal mask airway (LMA¨Þ) ProtectorTM (Teleflex Medical Co., Ireland) is the latest innovation in the second generation of LMA devices. One distinguishing feature of this device is its integrated, color-coded cuff pressure indicator (Cuff PilotTM technology) which enables continuous cuff pressure monitoring and allows adjustments when necessary; this ensures patient safety due to better monitoring.
Case: We report a case of postoperative unilateral hypoglossal nerve palsy after uncomplicated use of the LMA Protector. To the best of our knowledge, this could be the second reported case.
Conclusions: This case demonstrates that anesthetists need to routinely measure cuff pressure and that the Cuff PilotTM technology is not a panacea for potential cranial nerve injury after airway manipulation.
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KEYWORD
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Airway, Complication, Hypoglossal nerve palsy, Laryngeal mask, Postoperative
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