BMJ  2004;329:1225-1226 (20 November), doi:10.1136/bmj.329.7476.1225

Clinical review

Lesson of the week

Gastric rupture associated with use of the laryngeal mask airway during cardiopulmonary resuscitation

¹ Wansbeck General Hospital, Ashington NE63 9JJ, ² James Cook University Hospital, Middlesbrough TS4 3BW

The first 150 words of the full text of this article appear below.

Introduction

The laryngeal mask airway has revolutionised airway management in anaesthesia and seems set to do so for resuscitation. Its appeal is based largely on less need for skill and training than with either facemask or an endotracheal tube.¹ All paramedic crews and emergency departments have the laryngeal mask as standard equipment, and its popularity in hospital resuscitation is growing. Gas leak and gastric inflation are well recognised complications of positive pressure ventilation with the laryngeal mask.^{2 3} We present a case in which the use of a laryngeal mask during an out of hospital cardiac arrest led to massive gastric dilation, gastric rupture, and a tension pneumoperitoneum.

Case history

A 71 year old man with a history of angina and hypertension developed chest pain and collapsed in a shopping centre. A bystander performed cardiopulmonary resuscitation for about seven minutes until a paramedic unit arrived. A paramedic inserted a laryngeal mask airway and started . . . [Full text of this article]

Discussion

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This article has been cited by other articles:

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