Challenges in positioning linear echoendoscopes via LMA®GastroTM airway: A report of two cases

  • Federica Fimiano Digestive Endoscopy unit, Gaetano Fucito hospital, AOU San Giovanni e Ruggi D’Aragona , Mercato San Severino, Salerno, Italy
  • Carmine Cavallo AOU San Giovanni e Ruggi D’Aragona , Department of Anesthesia e Intensive Care, Salerno, Italy
  • Carmela Abbatiello Digestive Endoscopy unit, Gaetano Fucito hospital, AOU San Giovanni e Ruggi D’Aragona , Mercato San Severino, Salerno, Italy
  • Mario Gagliardi Digestive Endoscopy unit, Gaetano Fucito hospital, AOU San Giovanni e Ruggi D’Aragona , Mercato San Severino, Salerno, Italy
  • Michele Fusco Digestive Endoscopy unit, Gaetano Fucito hospital, AOU San Giovanni e Ruggi D’Aragona , Mercato San Severino, Salerno, Italy
  • Claudio Zulli Digestive Endoscopy unit, Gaetano Fucito hospital, AOU San Giovanni e Ruggi D’Aragona , Mercato San Severino, Salerno, Italy
  • Giuseppe Terracciano AOU San Giovanni e Ruggi D’Aragona , Department of Anesthesia e Intensive Care, Mercato San Severino, Salerno, Italy
  • Mariano Sica Digestive Endoscopy unit, Gaetano Fucito hospital, AOU San Giovanni e Ruggi D’Aragona , Mercato San Severino, Salerno, Italy
DOI: https://doi.org/10.35975/apic.v29i3.2645
Keywords: difficult airways, lma gastro, endoscopist, echoendoscopy

Abstract

Endotracheal intubation was perhaps the gretest invention in the field of anesthesia, as well as intensive care. It made the life of the clinicians much easier, but soon the associated drawbacks and complications made many to frown. The most compelling factor was the need of deep anesthesia and/or the need of muscle relaxants for successful insertion into the glottis. Laryngeal Mask Airway (LMA) revolutionized the science of airway management, as it could be used without relaxation and was less traumatic. Since the earliest versions, many new varients have been introduced. The LMA GastroTM is one of these. The authors present two case report of use of this device for positioning linear echo endoscopes and the related challenges.

Keywords: Airway; Echo endoscopy; Endotracheal intubation, Laryngeal Mask Airway; LMA Gastro

Citation: Cavallo C, Fimiano F, Abbatiello C, Gagliardi M, Fusco M, Zulli C, Terracciano G, Sica M. Challenges in positioning linear echo endoscopes via LMA®GastroTM airway: A report of two cases. Anaesth. pain intensive care 2025;29(3):708-710. DOI: 10.35975/apic.v29i3.2645


Received: January 14, 2025; Revised: February 05, 2025; Accepted: March 20, 2025

Published
06-10-2025
Issue
Vol 29 No 3 (2025): June 2025
Section
Case Reports