Severe gastric insufflation and consequent atelectasis caused by gas leakage using AIR-Q laryngeal mask airway:A case report  

作　　者：Yue Zhao Ping Li De-Wei Li Gao-Feng Zhao Xiang-Yu Li 

机构地区：[1]Department of Anesthesiology,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2022年第11期3541-3546,共6页世界临床病例杂志

摘　　要：BACKGROUND The airways of patients undergoing awake craniotomy(AC)are considered“predicted difficult airways”,inclined to be managed with supraglottic airway devices(SADs)to lower the risk of coughing or gagging.However,the special requirements of AC in the head and neck position may deteriorate SADs’seal performance,which increases the risks of ventilation failure,severe gastric insufflation,regurgitation,and aspiration.CASE SUMMARY A 41-year-old man scheduled for AC with the asleep–awake–asleep approach was anesthetized and ventilated with a size 3.5 AIR-Q intubating laryngeal mask airway(LMA).Air leak was noticed with adequate ventilation after head rotation for allowing scalp blockage.Twenty-five minutes later,the LMA was replaced by an endotracheal tube because of a change in the surgical plan.After surgery,the patient consistently showed low tidal volume and was diagnosed with gastric insufflation and atelectasis using computed tomography.CONCLUSION This case highlights head rotation may cause gas leakage,severe gastric insufflation,and consequent atelectasis during ventilation with an AIR-Q intubating laryngeal airway.

关 键 词：INSUFFLATION ATELECTASIS Laryngeal mask airway CRANIOTOMY Case report 

分 类 号：R614[医药卫生—麻醉学]