Abstract
Gastrointestinal endoscopies are often done in the prone position and anesthesiologists are needed to provide sedation. Airway access is limited in the prone position and may make timely airway management difficult in case of airway obstruction during sedation. Specialized laryngeal mask airway devices customized for endoscopy procedures like LMA® Gastro™ can be inserted in the prone position and may help anesthesiologists tide over such crisis situations while simultaneously allowing the endoscopy procedures through the dedicated conduit available for inserting the endoscopes. We have described one such case managed successfully by inserting LMA® Gastro™ in the prone position.
References
ASGE Standards of Practice Committee. Early DS, Lightdale JR, et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc. 2018;87(2):327–37. doi:https://doi.org/10.1016/j.gie.2017.07.018.
Goudra B, Nuzat A, Singh PM, Borle A, Carlin A, Gouda G. Association between Type of Sedation and the Adverse Events Associated with Gastrointestinal Endoscopy: An Analysis of 5 Years’ Data from a Tertiary Center in the USA. Clin Endosc. 2017;50(2):161–9. doi:https://doi.org/10.5946/ce.2016.019.
Smith ZL, Mullady DK, Lang GD, et al. A randomized controlled trial evaluating general endotracheal anesthesia versus monitored anesthesia care and the incidence of sedation-related adverse events during ERCP in high-risk patients. Gastrointest Endosc. 2019;89(4):855–62. doi:https://doi.org/10.1016/j.gie.2018.09.001.
Schmutz A, Loeffler T, Schmidt A, Goebel U. LMA Gastro™ airway is feasible during upper gastrointestinal interventional endoscopic procedures in high-risk patients: a single-centre observational study. BMC Anesthesiol. 2020;20(1):40. doi:https://doi.org/10.1186/s12871-020-0938-9.
Tran A, Thiruvenkatarajan V, Wahba M, et al. LMA® Gastro™ Airway for endoscopic retrograde cholangiopancreatography: a retrospective observational analysis. BMC Anesthesiol. 2020;20(1):113. doi:https://doi.org/10.1186/s12871-020-01019-5.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No financial or commercial conflict of interest by any of the authors.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Gupta, A., Subramaniam, R., Rathod, P.R. et al. Gastrointestinal endoscopy procedures under intravenous sedation in the prone position: keep LMA gastro handy!. J Clin Monit Comput 37, 715–716 (2023). https://doi.org/10.1007/s10877-022-00912-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10877-022-00912-3