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O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | M A R C H 2 0 1 6
passage of air, and lets you remove the LMA without damaging it or
the patient's teeth.
Some feel that leaving the LMA in place until the patient is fully
awake can actually stimulate coughing and give patients the feeling
that they can't breathe. That may send them into panic mode if they're
still lightly anesthetized. Patients who still have breathing devices in
place may also feel that they're waking up before procedures are fin-
ished.
Removing LMAs in "deep" patients
Proponents of "deep" extubation say their patients are ready to move
sooner. The LMA is out by the time the surgery is complete, so there's
no need to keep patients anesthetized deeply. Also, with deep extuba-
tion, patients usually
don't cough; and
coughing can strain
the fresh suture line.
But there are also
several important con-
siderations if you're
considering an extuba-
tion while the patient
is still anesthetized. It's
important that patients
be breathing sponta-
neously and without
interruption when
LMAs are removed.
This makes the transi-
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Anesthesia Alert
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