Difficult Central Venous Cannulation under Laryngeal Mask Airway Anesthesia in Adolescent

Abstract

We report a case of difficult central venous cannulation under general anesthesia with laryngeal mask airway in a young female child. Our case demonstrated a difficulty in surgically finding the right internal jugular vein due to neck veins displacements by laryngeal mask airway, which caused morbidity such as prolonged surgical duration and excessive blood loss. Once the laryngeal mask airway was replaced with endotracheal tube, the internal jugular vein appeared on surface and procedure was successfully completed in a few minutes. Such difficulties warrant an alternate approach in airway management in order to prevent major adverse effects.

Comparison of two different flexible laryngeal airway masks in pediatric ophthalmic surgeries: A retrospective study

“…After insertion, the ventilation tube can easily conform to the anatomic radian of the oropharynx and does not cause the ventilation tube to disintegrate, which is more conducive to maintaining good airway sealing pressure. [14–18]…”

“…After insertion, the ventilation tube can easily conform to the anatomic radian of the oropharynx and does not cause the ventilation tube to disintegrate, which is more conducive to maintaining good airway sealing pressure. [14][15][16][17][18] A high proportion of Medis laryngeal mask needs index finger guidance to be inserted, which is because the ventilation tube is very soft and the force is difficult to extend the ventilation tube downward. Because the laryngeal mask operator in the present study is skilled at the main point of the flexible laryngeal mask, although the laryngeal mask of the 2 groups did not show any obvious differences in quantity and time of insertion.…”