Izicelo eziningi ze-laryngeal mask airway

Imaski ye-laryngeal yathuthukiswa ngempumelelo futhi yasetshenziswa emtholampilo maphakathi nawo-1980 futhi yethulwa eChina ngawo-1990.Kuye kwenziwa intuthuko enkulu ekusetshenzisweni kwe-mask ye-laryngeal futhi ukusetshenziswa kwayo kuya ngokuya kusakazeka.

Okokuqala, ukusetshenziswa kwe-mask laryngeal airway emkhakheni wamazinyo.Ngokungafani nokuhlinzwa okuningi kwezokwelapha, izinqubo zamazinyo ngokuvamile ziphazamisa indlela yomoya.ENyakatho Melika, cishe ama-60% odokotela bamazinyo ababulala izinzwa abafaki intuba, okukhomba ngokusobala ukwehluka ekusebenzeni (Young AS, 2018).Ukuphathwa kwendiza yezindiza kuyisihloko esithakaselwayo ngoba ukulahlekelwa kwe-airway reflexes ehlobene ne-GA kungaholela ezinkingeni ezibalulekile zendlela yomoya (Divatia JV, 2005).Ukusesha okuhlelekile kolwazi lwe-elekthronikhi nezincwadi ezimpunga kwaqedwa ngu-Jordan Prince (2021).Ekugcineni kwaphetha ngokuthi ukusetshenziswa kwe-LMA kudokotela wamazinyo kungase kube namandla okunciphisa ingozi ye-postoperative hypoxia.

Okwesibili, ukusetshenziswa kwe-laryngeal mask airway ventilation ekuhlinzeni okumele kwenziwe ku-upper tracheal stenosis kuye kwabikwa ochungechungeni lwamacala.U-Celik A (2021) uhlaziye amarekhodi eziguli ezingama-21 ezahlinzwa uqhoqhoqho kusetshenziswa umoya we-LMA phakathi kukaMashi 2016 noMeyi 2020 ahlolwa ngokubuyela emuva.Ekugcineni kwafinyelelwa esiphethweni sokuthi ukuhlinza uqhoqhoho okusizwa yi-LMA kuyindlela engasetshenziswa ngokuphepha njengendlela evamile ekuhlinzweni kwezifo eziyingozi neziyingozi kokubili umzila womoya ongenhla nophansi owenziwe ezigulini zezingane, iziguli ezine-tracheostomy, kanye neziguli ezifanele i-tracheoesophageal fistula.

Okwesithathu, ukusetshenziswa komugqa wesibili kwe-LMA ekulawuleni umzila womoya wokubelethisa.Umzila womoya wokubelethisa uyimbangela enkulu yokugula nokufa komama (McKeen DM, 2011).I-Endotracheal intubation ibhekwa njengezinga lokunakekelwa kodwa i-laryngeal mask airway (LMA) isithole ukwamukelwa njengendlela yokuphefumula yokuhlenga futhi isifakwe eziqondisweni zokulawulwa kwe-obstetric airway.U-Wei Yu Yao (2019) uqhathanise i-Supreme LMA (SLMA) ne-endotracheal intubation (ETT) ekulawuleni indlela yomoya yokubelethisa ngesikhathi sokuhlinzwa futhi wathola ukuthi i-LMA ingaba enye indlela yokuphatha umzila womoya kubantu abakhethwe ngokucophelela abasengozini ephansi yokubelethisa, efana nalena. amazinga okuphumelela okufakwayo, isikhathi esincishisiwe sokungenisa umoya kanye nezinguquko ezincane ze-hemodynamic uma kuqhathaniswa ne-ETT.

Izithenjwa
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