Aspiration of gastric contents during use of a ProSeal™ laryngeal mask airway secondary to unidentified foldover malposition

The primary function of the drain tube of the ProSealTM laryngeal mask airway (PLMA) is to prevent aspiration of regurgitated stomach contents. We report a case of gastric aspiration with the PLMA during a laparoscopic cholecystectomy in a 64-yr-old healthy man secondary to an unidentified foldover malposition. It is imperative that the position and patency of the drain tube be verified in all patients with the PLMA. IMPLICATIONS: We report a case of gastric aspiration with the ProSealTM laryngeal mask during a laparoscopic cholecystectomy secondary to an unidentified foldover malposition. It is imperative that the position and patency of the drain tube be verified in all patients with the ProSealTM laryngeal mask