Hypoglossal Nerve Palsy as Complication of Oral Intubation, Bronchoscopy and Use of the Laryngeal Mask Airway

2002 ◽  
Vol 47 (4) ◽  
pp. 239-243 ◽  
Author(s):  
Rainer Dziewas ◽  
Peter Lüdemann
2019 ◽  
Vol 72 (6) ◽  
pp. 606-609 ◽  
Author(s):  
Li Yeen Tham ◽  
Zhi Yuen Beh ◽  
Ina Ismiarti Shariffuddin ◽  
Chew Yin Wang

2014 ◽  
Vol 4 (4) ◽  
pp. 127-128
Author(s):  
Hemlata Kapoor ◽  
Sanjiv Badhwar ◽  
Neepa Vellimuttam

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Kenichi Takahoko ◽  
Hajime Iwasaki ◽  
Tomoki Sasakawa ◽  
Akihiro Suzuki ◽  
Hideki Matsumoto ◽  
...  

Purpose.Hypoglossal nerve palsy after use of the laryngeal mask airway (LMA) is an exceptionally rare complication. We present the first case of unilateral hypoglossal nerve palsy after use of the LMA Supreme.Clinical Features.A healthy 67-year-old female was scheduled for a hallux valgus correction under general anesthesia combined with femoral and sciatic nerve blocks. A size 4 LMA Supreme was inserted successfully at the first attempt and the cuff was inflated with air at an intracuff pressure of 60 cmH2O using cuff pressure gauge. Anesthesia was maintained with oxygen, nitrous oxide (67%), and sevoflurane under spontaneous breathing. The surgery was uneventful and the duration of anesthesia was two hours. The LMA was removed as the patient woke and there were no immediate postoperative complications. The next morning, the patient complained of dysarthria and dysphasia. These symptoms were considered to be caused by the LMA compressing the nerve against the hyoid bone. Conservative treatment was chosen and the paralysis recovered completely after 5 months.Conclusion.Hypoglossal nerve injury may occur despite correct positioning of the LMA under the appropriate intracuff pressure. A follow-up period of at least 6 months should be taken into account for the recovery.


1992 ◽  
Vol 20 (4) ◽  
pp. 484-486 ◽  
Author(s):  
J. Brimacombe ◽  
N. Shorney ◽  
R. Swainston ◽  
G. Bapty

The incidence of bacteraemia following insertion of the laryngeal mask airway (LMA) was investigated in one hundred fit patients. Four cultures were positive: three represented contamination with skin flora; the other was a microaerophilic streptococcus grown from an anaerobic culture bottle. Although this organism can be pathogenic, it may also represent contamination. Our findings suggest that significant bacteraemia on insertion of the LMA is uncommon and is probably no more than with oral intubation. Antibiotic prophylaxis is of doubtful benefit in these circumstances.


Author(s):  
Clement Olesen ◽  
Martin Biilmann Groen ◽  
Jonatan Forsberg ◽  
Ronald Antulov

2005 ◽  
Vol 51 (5) ◽  
pp. 264-267
Author(s):  
Hideki NAKAYAMA ◽  
Masaki KANAMOTO ◽  
Koji NAKAMATSU ◽  
Yasuharu TAKENOSHITA ◽  
Eiji KAWAMURA ◽  
...  

2018 ◽  
Vol 7 (1) ◽  
pp. 37-39
Author(s):  
Zenshi Miyake ◽  
Kiyotaka Nakamagoe ◽  
Yasuhiro Ogawa ◽  
Masashi Matsuyama ◽  
Noriyuki Nakano ◽  
...  

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