LMA Question

[UW in 2002]

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What is the cause of phonation when you are using an LMA? Had a case the where pt started to phonate towards the end of the case. Application of CPAP helped to resolve the issue.

 

[jwk]

What is the cause of phonation when you are using an LMA? Had a case the where pt started to phonate towards the end of the case. Application of CPAP helped to resolve the issue.

The patient is light.

 

[Bertelman]

Adduction of the cords.

 

[dhb]

You can make sounds through an LMA since it sits over the vocal cords.

 

[periopdoc]

Stick a fiberoptic scope down and see. BTW it isn't always cord adduction or light anesthesia.

Thanks for this thread. It was the last thing I read before I went to bed last night... then I ended up dreaming that my patient was actually talking to me with an LMA in (not hooked up to the vent of course). Thanks for the entertainment.

- pod

 

[Endee]

This happened to me the other day and I couldn't figure out what it was. All of my indicators (BP, HR, BIS, breathing rate) told me that the patient wasn't light, and like previously said I gave a little CPAP and it went away.