RESEARCH ARTICLE


Survey of Elective Laryngeal Mask Airway Use in the Presence of Gastroesophageal Reflux Disease



Allison J. Lee*, Keith A. Candiotti
Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USA


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Creative Commons License
Lee et al.; Licensee Bentham Open

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.

* Address correspondence to this author at the Department of Anesthesiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, 1611 NW 12th Ave. (C-301), Miami, FL 33136, USA; Tel: (305) 585-7738; Fax: (305) 585-7012; E-mail: alee@med.miami.edu


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.

Keywords: Orofacial pain, Laryngeal Mask Airway (LMA), Gastroesophageal Reflux Disease (GERD), Survey, Pulmonary Aspiration, General Anesthesia.