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Successful use of supraglottic airway in a professional singer undergoing laparoscopic living donor right hepatectomy - A case report -
Anesth Pain Med 2018;13(4):423-6
Published online October 31, 2018
© 2018 Korean Society of Neuroscience in Anesthesiology and Critical Care.

Jeayoun Kim, Gaab-Soo Kim , Duk Kyung Kim, and Hyunsu Shin
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to: Gaab-Soo Kim, M.D., Ph.D.
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea
Tel: 82-2-3410-0360
Fax: 82-2-3410-0361
E-mail: gskim@skku.edu
ORCID
http://orcid.org/0000-0002-9383-2652
Received February 21, 2018; Revised April 24, 2018; Accepted April 27, 2018.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A 25-year old female singer was scheduled to undergo a right hepatectomy for her father’s liver transplantation. Her two main requests were rapid recovery and prevention of cosmetic complications, and the avoidance of postoperative laryngeal damage. Thus, we decided to use a laparoscopic surgical approach and the second-generation supraglottic airway (ProtectorTM supraglottic airway). After anesthetic induction, the supraglottic airway was placed at the first attempt, and its performance was tested using the oropharyngeal leak pressure and maximal minute volume ventilation tests. Throughout the surgery, the cuff pressure of the supraglottic airway was maintained in the green zone. The ProtectorTM supraglottic airway was successfully used during 300 minutes of anesthesia, and it only caused mild postoperative sore throat without hoarseness or aspiration. Anesthesiologists should consider using the supraglottic airway proactively in laparoscopic living donor right hepatectomies when professional voice users undergo surgery.
Key Words : Hepatectomy; Laparoscopy; Laryngeal injury; Laryngeal masks; Living donor.


October 2018, 13 (4)
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