UW in 2002

Junior Member
7+ Year Member
15+ Year Member
May 16, 2002
19
0
Visit site
Status
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

CAA, ASA-PAC Contributor
15+ Year Member
Apr 30, 2004
3,640
764
Atlanta, GA
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

Maverick!
10+ Year Member
Feb 12, 2006
4,191
12
Had a Cooch
Status
Attending Physician
Adduction of the cords.
 

dhb

Member
Lifetime Donor
10+ Year Member
Jul 12, 2006
3,887
1,077
Status
Attending Physician
You can make sounds through an LMA since it sits over the vocal cords.
 

periopdoc

Cardiac Anesthesiologist
Lifetime Donor
10+ Year Member
Sep 8, 2008
2,253
321
Kalispell, Montana
Status
Attending Physician
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

CAA
10+ Year Member
Mar 23, 2005
251
61
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.