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Korean J Crit Care Med > Volume 19(1); 2004 > Article
Korean Journal of Critical Care Medicine 2004;19(1): 47-51.
증례보고 : 어려운 기관 내 삽관이 예상되는 뇌종양 환자의 정위적 생검 시 후두마스크 Proseal의 사용 경험
김윤홍, 김현수, 문성하, 이현승
성균관대학교 의과대학 강북삼성병원 마취과
Use of Laryngeal Mask Airway Proseal for Stereotactic Biopsy of Brain Tumor in which Difficult Intubation was Expected under General Anesthesia: A Case Report
Yun Hong Kim, Hyun Soo Kim, Sung Ha Mun, Hyun Seung Lee
Department of Anesthesiology, Kang Buk Samsung Hospital, SungKyunKwan University College of Medicine, Seoul, Korea. yhkim12@netian.com
Stereotactic surgery is a technique allowing the operation of an intracranial lesion without the need for craniotomy. Now stereotactic technique is widely used for aspiration of brain abscess or hemorrhage, biopsy of brain tumor and treatment of movement disorder etc. Because of the frame of stereotactic system, that is fixed on the scalp, laryngoscopic endotracheal intubation may be disturbed. So, in this case, we used laryngeal mask airway Proseal (PLMA(TM)) for maintenance of airway during stereotactic biopsy of brain tumor under general anesthesia. It was easily to insert PLMA(TM) using the introducer at once. The ventilation during the operation was not impeded at all time. There were not excessively changes of vital sign during general anesthesia. We think that PLMA(TM) may be a good alternative method for maintenance of airway during stereotactic surgery under general anesthesia.
Key Words: Laryngeal mask airway Proseal; Stereotactic surgery
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