Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2022; 10(11): 3541-3546
Published online Apr 16, 2022. doi: 10.12998/wjcc.v10.i11.3541
Published online Apr 16, 2022. doi: 10.12998/wjcc.v10.i11.3541
Severe gastric insufflation and consequent atelectasis caused by gas leakage using AIR-Q laryngeal mask airway: A case report
Yue Zhao, Ping Li, De-Wei Li, Gao-Feng Zhao, Xiang-Yu Li, Department of Anesthesiology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, Guangdong Province, China
Author contributions: Zhao Y and Li DW reviewed the literature and contributed to manuscript drafting; Li P and Li XY were responsible for project administration and data curation; Zhao GF was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: De-Wei Li, PhD, Doctor, Department of Anesthesiology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, No. 111 Dade Road, Guangzhou 510120, Guangdong Province, China. leedewei1123@sina.com
Received: December 7, 2021
Peer-review started: December 7, 2021
First decision: January 12, 2022
Revised: January 23, 2022
Accepted: February 23, 2022
Article in press: February 23, 2022
Published online: April 16, 2022
Peer-review started: December 7, 2021
First decision: January 12, 2022
Revised: January 23, 2022
Accepted: February 23, 2022
Article in press: February 23, 2022
Published online: April 16, 2022
Core Tip
Core Tip: AIR-Q intubating laryngeal airway is a feasible airway management method for predicted difficult airways and has been proven to involve fewer complications and a shorter ventilation duration than fiberoptic intubation. This case highlights that head rotation during ventilation with an AIR-Q intubating laryngeal airway may lead to gas leakage, severe gastric insufflation, and consequent atelectasis; this indicates that physicians should pay attention to patient position changes when using laryngeal mask airway.