Failure to ventilate with supraglottic airways after drowning

We report the failure of an i-gel and an Ambu AuraOnce supraglottic airway to ventilate a drowning victim. Failure was attributed to changes in lung physiology following submersion and inhalation of water that may have required ventilation pressures up to 40 cmH2O to treat the victim's hypoxaem...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2011-07, Vol.39 (4), p.675-677
Main Authors: BAKER, P. A, WEBBER, J. B
Format: Article
Language:English
Subjects:
Adult
Air Pressure
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Care and treatment
Case studies
CPR (First aid)
Drowning
Drowning - physiopathology
Fatal Outcome
Humans
Intubation, Intratracheal
Laryngeal Masks
Lung - physiopathology
Male
Medical sciences
Near Drowning - physiopathology
Near Drowning - therapy
Oxygen equipment (Medical care)
Respiration, Artificial
Resuscitation
Treatment Failure
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Summary:We report the failure of an i-gel and an Ambu AuraOnce supraglottic airway to ventilate a drowning victim. Failure was attributed to changes in lung physiology following submersion and inhalation of water that may have required ventilation pressures up to 40 cmH2O to treat the victim's hypoxaemia. The ease of use and rapid insertion of supraglottic airways without interrupting cardiac compression has prompted recommendations for their use during resuscitation. The relatively low leak pressures attainable from many supraglottic airways, however may cause inadequate lung ventilation and entrainment of air into the stomach when these devices are used in drowning victims.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x1103900423