oa Southern African Journal of Anaesthesia and Analgesia - Damaged Proseal™ LMA cuff at the inflation line site : letters



We would like to report a problem we encountered with laryngeal mask airway (LMA)-Proseal™ (The Laryngeal Mask Company (UK) Limited), intended for use in a healthy 30-year-old female presenting for an elective orthopaedic procedure. During the routine pre-insertion preparation, whilst we were deflating the LMA-Proseal™ with a gentle pull on the inflation line, the inflation line along with the pilot balloon broke at the point of its attachment to the cuff (Figure 1). As a buffer stock of the same size was not available at that time, Classic™ LMA was used for the procedure. This Proseal™ LMA had been cleaned and sterilised as per the manufacturer guidelines but we have no record of the number of times it had been autoclaved and used.


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