Multiple application of the laryngeal mask airway

Iyo laryngeal mask yakabudirira kugadzirwa uye yakashandiswa mukiriniki pakati pe-1980s uye yakaunzwa muChina muma1990s.Kufambira mberi kukuru kwakaitwa mukushandiswa kwemaski yelaryngeal uye kushandiswa kwayo kuri kuwedzera kupararira.

Chekutanga, kushandiswa kwelaryngeal mask airway mumunda wemazino.Kusiyana nekuvhiyiwa kwakawanda kwekurapa, maitiro emazino anowanzo kukanganisa panzira yemhepo.MuNorth America, ingangoita makumi matanhatu muzana evana chiremba wemazino anesthesiologists haagamuchire intubate, izvo zvinonyatso ratidza musiyano mukuita (Young AS, 2018).Kutungamira kwendege inyaya yekufarira nekuti kurasikirwa kwemaitiro emhepo anoenderana neGA kunogona kutungamirira kumatambudziko makuru emhepo (Divatia JV, 2005).Kutsvaga kwakarongeka kwemadatabase emagetsi uye grey mabhuku kwakapedzwa naJordan Prince (2021).Yakazopedzisira yapedzwa kuti kushandiswa kweLMA mune mazino kunogona kuva nekukwanisa kuderedza dambudziko re postoperative hypoxia.

Chechipiri, kushandiswa kwelaryngeal mask airway ventilation mukuvhiya kunofanira kuitwa mupamusoro tracheal stenosis yakataurwa munyaya dzakatevedzana.Celik A (2021) akaongorora marekodhi evarwere makumi maviri nemumwe vakavhiyiwa tracheal vachishandisa LMA ventilation pakati paKurume 2016 naMay 2020 vakaongororwa zvekare.Zvakazogumiswa kuti LMA-yaibatsirwa tracheal kuvhiyiwa inzira inogona kushandiswa zvakachengeteka seyakajairwa nzira mukuvhiya kwehurwere uye nehurwere hwehurwere hwepamusoro uye hwepasi hwemhepo hunoitwa pavarwere vevana, varwere vane tracheostomy, uye varwere vakakodzera vane tracheoesophageal fistula.

Yetatu, yechipiri-mutsara kushandiswa kweLMA mukutungamira kweiyo obstetric airway.Iyo obstetric airway ndicho chikonzero chakakosha chekurwara kweamai uye kufa (McKeen DM, 2011).Endotracheal intubation inoonekwa seyero yekutarisira asi iyo laryngeal mask airway (LMA) yakawana kugamuchirwa senzira yekununura uye yakaverengerwa muobstetric airway management guidelines.Wei Yu Yao (2019) akaenzanisa iyo Supreme LMA (SLMA) ne endotracheal intubation (ETT) mukugadzirisa nzira yekudzivirira yemhepo panguva yekuvhiya uye akawana kuti LMA inogona kunge iri imwe nzira yekudzora nzira yemhepo kune yakanyatsosarudzwa yakaderera-njodzi yekudzivirira, ine zvakafanana. kuisa mazinga ekubudirira, kuderedzwa nguva yekufefetera uye kushoma hemodynamic shanduko kana ichienzaniswa neETT.

References
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