Nui nā noi o ka laryngeal mask ea

Ua hoʻomohala maikaʻi ʻia ka mask laryngeal a hoʻohana ʻia i ke kauka ma waena o 1980s a hoʻokomo ʻia ma Kina i nā makahiki 1990.Ua holomua nui i ka hoʻohana ʻana i ka mask laryngeal a ua hoʻolaha nui ʻia kāna noi.

ʻO ka mea mua, ʻo ka hoʻohana ʻana i ka laryngeal mask airway ma ke kahua niho.ʻAʻole like me ka hapa nui o nā lāʻau lapaʻau, pili pinepine nā kaʻina hana niho i ke ala ea.Ma ʻAmelika ʻĀkau, ma kahi o 60% o nā anesthesiologists niho ʻaʻole i hoʻokomo pinepine ʻia, e ʻike maopopo ana i ka ʻokoʻa i ka hana (Young AS, 2018).ʻO ka hoʻokele ʻana i ke ea he kumuhana hoihoi no ka mea ʻo ka nalowale o nā reflexes ea e pili ana me GA hiki ke alakaʻi i nā pilikia ea nui (Divatia JV, 2005).Ua hoʻopau ʻia kahi hulina ʻōnaehana o nā ʻikepili uila a me nā palapala hina e Jordan Prince (2021).Ua hoʻoholo hope ʻia ʻo ka hoʻohana ʻana i kahi LMA i ka lāʻau lapaʻau niho hiki ke hōʻemi i ka hopena o ka hypoxia postoperative.

ʻO ka lua, ua hōʻike ʻia ka hoʻohana ʻana i ka laryngeal mask airway ventilation i nā ʻokiʻoki e hana ʻia ma luna o ka tracheal stenosis i hōʻike ʻia ma ka moʻo hihia.Ua loiloi ʻo Celik A (2021) i nā moʻolelo o nā maʻi maʻi he 21 i hana i ke kaʻina tracheal e hoʻohana ana i ka ventila LMA ma waena o Malaki 2016 a me Mei 2020 i loiloi retrospectively.Ua hoʻoholo hope ʻia ʻo ka ʻoki ʻana i ka tracheal i kōkua ʻia e LMA he ʻano ia e hiki ke hoʻohana palekana ʻia ma ke ʻano he ʻano hana maʻamau i ka ʻoki ʻana i nā maʻi maikaʻi a me nā maʻi ʻino o ka ea o luna a me lalo i hana ʻia i nā maʻi pediatric, nā maʻi me ka tracheostomy, a me nā maʻi kūpono me. tracheoesophageal fistula.

ʻO ke kolu, ʻo ka hoʻohana ʻana i ka laina lua o ka LMA i ka hoʻokele ʻana i ke ea obstetric.ʻO ke ala obstetric kahi kumu nui o ka maʻi maʻi a me ka make (McKeen DM, 2011).ʻO ka endotracheal intubation ka mea maʻamau o ka mālama akā ua loaʻa i ka laryngeal mask airway (LMA) ka ʻae ʻia ma ke ʻano he ea hoʻopakele a ua hoʻokomo ʻia i loko o nā alakaʻi alakaʻi hoʻokele obstetric airway.Ua hoʻohālikelike ʻo Wei Yu Yao (2019) i ka LMA kiʻekiʻe (SLMA) me ka endotracheal intubation (ETT) i ka mālama ʻana i ke ala obstetric i ka wā cesarean a ua ʻike ʻo LMA hiki ke lilo i ʻenehana hoʻokele ea ʻē aʻe no ka heluna obstetric haʻahaʻa i koho pono ʻia, me nā mea like. ka nui o ka holomua o ka hoʻokomo ʻana, hoʻemi ʻia ka manawa i ka ventila a me ka liʻiliʻi o nā loli hemodynamic i hoʻohālikelike ʻia me ETT.

Nā kuhikuhi
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[2] ʻO Prince J, Goertzen C, Zanjir M, Wong M, ʻo Azarpazhooh A. Nā pilikia o ka ea ma Intubated Versus Laryngeal Mask Airway-Managed Dentistry: He Meta-Analysis.Anesth Prog.2021 Dec 1;68(4):193-205.doi: 10.2344/anpr-68-04-02.PMID: 34911069;PMCID: PMC8674849.
[3] Celik A, Sayan M, Kankoc A, Tombul I, Kurul IC, Tastepe AI.Nā hoʻohana like ʻole o ka Laryngeal Mask Airway i ka wā o ka ʻoki ʻana i ka tracheal.ʻO Thorac Cardiovasc Surg.2021 Dek;69(8):764-768.doi: 10.1055/s-0041-1724103.Epub 2021 Mar 19. PMID: 33742428.
[4] Rahman K, Jenkins JG.ʻAʻole hiki ke hoʻokomo ʻia ka tracheal intubation i loko o ka obstetrics: ʻaʻole pinepine akā mālama maikaʻi ʻia.Anaesthesia.2005;60:168–171.doi: 10.1111/j.1365-2044.2004.04069.x.
[5]Yao WY, Li SY, Yuan YJ, Tan HS, Han NR, Sultana R, Assam PN, Sia AT, Sng BL.Ka hoʻohālikelike o ka Supreme laryngeal mask airway versus endotracheal intubation no ka mālama ʻana i ke ea i ka wā o ka anesthesia maʻamau no ka ʻāpana cesarean: kahi hoʻāʻo i hoʻopaʻa ʻia.BMC Anesthesiol.2019 Iulai 8;19(1):123.doi: 10.1186/s12871-019-0792-9.PMID: 31286883;PMCID: PMC6615212.