RESEARCH ARTICLE
Survey of Elective Laryngeal Mask Airway Use in the Presence of Gastroesophageal Reflux Disease
Allison J. Lee*, Keith A. Candiotti
Article Information
Identifiers and Pagination:
Year: 2010Volume: 4
First Page: 1
Last Page: 4
Publisher ID: TOATJ-4-1
DOI: 10.2174/1874321801004010001
Article History:
Received Date: 16/11/2009Revision Received Date: 03/02/2010
Acceptance Date: 26/02/2010
Electronic publication date: 28/5/2010
Collection year: 2010
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Concern exists about the potential risks of pulmonary aspiration with the laryngeal mask airway (LMA) due to its inability to provide a tight seal at the larynx. The safety of LMA use in the presence of gastroesophageal reflux disease (GERD) is unclear, as GERD is presumed to increase the risk of aspiration under anesthesia. VA Anesthesiologists were surveyed regarding their practices in the setting of mild, moderately severe and severe symptoms of GERD. Approximately half responded that they would use a standard LMA in a patient with GERD as long as symptoms are mild. Nineteen percent would not use the LMA in any patient with a history of GERD.