Gastric rupture and laryngeal mask airway: Authors' reply

BMJ 2005; 330 doi: https://doi.org/10.1136/bmj.330.7490.538-a (Published 03 March 2005) Cite this as: BMJ 2005;330:538
  1. Nathaniel Haslam, specialist registrar in anaesthesia (nhaslam@doctors.org.uk),
  2. John E Duggan, consultant anaesthetist
  1. Freeman Hospital, Newcastle upon Tyne NE7 7DN
  2. Department of Anaesthesia, Wansbeck Hospital, Ashington, Northumberland NE63 9JJ

    EDITOR—We wanted to highlight the risk of gastric inflation when the laryngeal mask airway is used for positive pressure ventilation and to draw attention to the inadequacy of the current Resuscitation Council (UK) guidelines for using the laryngeal mask airway in resuscitation.1 We did not intend to generate any negative “hype” about its use by non-anaesthetists.

    Limiting airway pressure to less than 20 cm H2O to minimise the risk of gas leak …

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