Use of the laryngeal mask airway and bi-level positive airway pressure in postoperative airway management.

摘要

A 134 kg (body mass index, 39 kg/m2) male with severe obstructive sleep apnea, multiple comor-bidities, and inconsistent use of continuous positive airway pressure was scheduled for extensive spine surgery. After an uneventful induction of anesthesia and tracheal intubation, he was positioned prone on a Jackson frame. After 4.5 hours of surgery, during which he received 3600 mL crystalloid, he was turned supine and his trachea was extubated when he was fully awake and the residual neuromuscular block was reversed.