Unilateral hypoglossal nerve palsy after the use of laryngeal mask airway (LMA) Protector: a case report
- Author:
Li Yeen THAM
1
;
Zhi Yuen BEH
;
Ina Ismiarti SHARIFFUDDIN
;
Chew Yin WANG
Author Information
- Publication Type:Case Report
- Keywords: Airway; Complication; Hypoglossal nerve palsy; Laryngeal mask; Postoperative
- MeSH: Cranial Nerve Injuries; Hypoglossal Nerve Diseases; Hypoglossal Nerve; Laryngeal Masks; Patient Safety
- From:Korean Journal of Anesthesiology 2019;72(6):606-609
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: The laryngeal mask airway (LMAⓇ) Protector™ (Teleflex Medical Co., Ireland) is the latest innovation in the second generation of LMA devices. One distinguishing feature of this device is its integrated, color-coded cuff pressure indicator (Cuff ™ technology) which enables continuous cuff pressure monitoring and allows adjustments when necessary; this ensures patient safety due to better monitoring.CASE: We report a case of postoperative unilateral hypoglossal nerve palsy after uncomplicated use of the LMA Protector. To the best of our knowledge, this could be the second reported case.CONCLUSIONS: This case demonstrates that anesthetists need to routinely measure cuff pressure and that the Cuff Pilot™ technology is not a panacea for potential cranial nerve injury after airway manipulation.
