Anesthesia with the ProSeal Laryngeal Mask Airway for a patient with Mounier-Kuhn syndrome

Imashuku, Yasuhiko; Kitagawa, Hirotoshi; Fukushima, Yutaka; Aoi, Ryouta

doi:10.1016/j.jclinane.2009.07.002

Cited by 4 publications

(9 citation statements)

References 2 publications

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“…In the above previously published cases, MKS was diagnosed preoperatively; therefore, anesthesiologists could prepare a management plan [2789101112]. However, some patients may be asymptomatic, and MKS may go undetected prior to induction of anesthesia, as in the present report.…”

Section: Discussionmentioning

confidence: 50%

“…MKS has rarely been reported in the anesthesia field. Only seven cases have been reported on airway management during general anesthesia [2789101112]. The most important aspect of managing patients with MKS during general anesthesia is airway maintenance.…”

Section: Discussionmentioning

confidence: 99%

“…In one case, intra-oral gauze packing was used to prevent air leakage [10]. In another, laryngeal mask airway (LMA) was used for airway maintenance [9]. [2].…”

Section: Discussionmentioning

confidence: 99%

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Airway management of a patient incidentally diagnosed with Mounier-Kuhn syndrome during general anesthesia

Lee

Won

et al. 2019

J Dent Anesth Pain Med

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Mounier-Kuhn syndrome (MKS) is a disease characterized by dilation of the trachea and mainstem bronchi. Due to the risk of airway leakage, pulmonary aspiration, and tracheal damage, MKS can be fatal in patients undergoing tracheal intubation. Moreover, MKS may not be diagnosed preoperatively due to its rarity. In this case, a patient undergoing neurosurgery was incidentally diagnosed with MKS during general anesthesia. During anesthesia induction, difficulties in airway management led the anesthesiologist to suspect MKS. Airway leakage was resolved in this case using oropharyngeal gauze packing. Anesthesiologists should be aware of the possibility of MKS and appropriate management of the airways.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

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Airway management of a patient incidentally diagnosed with Mounier-Kuhn syndrome during general anesthesia

Lee

Won

et al. 2019

J Dent Anesth Pain Med

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“…To avoid respiratory complications like tracheal trauma following endotracheal instrumentation, Yasuhiko et al [12] used the ProSeal LMA instead of usual endotracheal tube intubation in a Mounier-Kuhn syndrome patient who underwent ovarian cancer operation. The 7-hour operation was uneventful and the patient awoke without any respiratory complications.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of a patient with Mounier-Kuhn syndrome undergoing off-pump coronary artery bypass graft surgery -A case report-

Min

Lee

Kim

et al. 2011

Korean J Anesthesiol

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Mounier-Kuhn-syndrome patients have markedly dilated trachea and main bronchi due to an atrophy or absence of elastic fibers and thinning of smooth muscle layers in the tracheobronchial tree. Although this syndrome is rare, airway management is challenging and general anesthesia may produce fatal results. However, only a few cases have been reported and this condition is not widely known among anesthesiologists. We present the case of a tracheobronchomegaly patient undergoing an emergency off-pump coronary artery bypass. Although the trachea was markedly dilated with numerous tracheal diverticuli, there was an undilated 2 cm portion below the vocal cords found on the preoperative CT. Under a preparation of extracorporeal membrane oxygenation, we intubated and placed the balloon of an endotracheal tube (I.D. 9 mm) at this portion, and maintained ventilation during the operation. This case showed that a precise preoperative evaluation and anesthetic plan is essential for successful anesthetic management.

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“…pericarinal), cuff herniation, and abnormal airway shape or size (e.g. tracheobronchomegaly, which can be associated with bronchiectasis) [2]. Initial troubleshooting should determine whether the cause relates to the tracheal tube or the patient.…”

Section: Figurementioning

confidence: 99%

Unexpected tracheal tube cuff leak due to tracheal deformity in a patient with bronchiectasis

Tamura

Saiki

Hayashi

2022

Anaesthesia Reports

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A 62-year-old man with a history of bronchiectasis was listed for a total nephroureterectomy for urological malignancy. General anaesthesia was induced and facemask ventilation was performed with ease. A 7.5-mm internal diameter tracheal tube (Parker Flex Tip, P3 Medical, Bristol, United Kingdom) was easily advanced into the trachea, to a depth of 22 cm. A large cuff leak was noted despite gradual inflation of the cuff with 15 ml of air. Mechanical ventilation was ineffective. The tracheal tube was exchanged for tubes of 8.0 mm then 9.0 mm internal diameter but a large cuff leak persisted. A supraglottic airway device provided sufficient seal for the provision of mechanical ventilation whilst discussion ensued on how to proceed. Figure 1 Computed tomography images of the thorax and corresponding tracheal schematic: (a) upper trachea; (b) mid trachea; (c) distal trachea.

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Anesthesia with the ProSeal Laryngeal Mask Airway for a patient with Mounier-Kuhn syndrome

Cited by 4 publications

References 2 publications

Airway management of a patient incidentally diagnosed with Mounier-Kuhn syndrome during general anesthesia

Airway management of a patient incidentally diagnosed with Mounier-Kuhn syndrome during general anesthesia

Anesthetic management of a patient with Mounier-Kuhn syndrome undergoing off-pump coronary artery bypass graft surgery -A case report-

Unexpected tracheal tube cuff leak due to tracheal deformity in a patient with bronchiectasis

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