Gastric rupture and laryngeal mask airway: Laryngeal mask airway was not likely cause of gastric rupture

BMJ 2005; 330 doi: https://doi.org/10.1136/bmj.330.7490.538 (Published 03 March 2005) Cite this as: BMJ 2005;330:538
  1. Jerry P Nolan, consultant in anaesthesia and intensive care medicine (Jerry.nolan@ukgateway.net),
  2. Mick Colquhoun, senior lecturer in prehospital care,
  3. Charles D Deakin, consultant anaesthetist
  1. Royal United Hospital, Bath BA1 3NG
  2. Wales School of Medicine, Cardiff University, Cardiff CF14 4XN
  3. Southampton General Hospital, Southampton, Hampshire SO16 6YD

    EDITOR—As some of the people responsible for setting resuscitation guidelines, we are interested in the case report of Haslam et al describing gastric rupture after use of the laryngeal mask airway during cardiopulmonary resuscitation.1

    There is a risk of gastric inflation with all airway and ventilation techniques during cardiopulmonary resuscitation. Positive pressure ventilation via a laryngeal mask airway can cause gastric inflation, particularly if the airway is not positioned correctly and if the inspiratory pressure exceeds 20 …

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