Lisebelisoa tse ngata tsa mask a laryngeal airway

Mask ea laryngeal e ile ea ntlafatsoa ka katleho mme ea sebelisoa bongaka bohareng ba bo-1980 mme ea hlahisoa China ka bo-1990.Khatelo-pele e kholo e entsoe tšebelisong ea mask a laryngeal mme ts'ebeliso ea eona e ntse e ata haholo.

Ntlha ea pele, tšebeliso ea mask a laryngeal airway tšimong ea meno.Ho fapana le liopereishene tse ngata tsa bongaka, mekhoa ea meno hangata e ama tsela ea moea.Amerika Leboea, hoo e ka bang 60% ea lingaka tsa meno tse robatsang ka meno ha li tloaele ho kenya li-intubate, e leng se bontšang ka ho hlaka phapang ea tšebetso (Young AS, 2018).Tsamaiso ea lifofane ke taba e thahasellisang hobane ho lahleheloa ke li-reflexes tsa moea tse amanang le GA ho ka lebisa mathateng a bohlokoa a moea (Divatia JV, 2005).Patlisiso e hlophisitsoeng ea li-database tsa elektroniki le lingoliloeng tse bohlooho e phethetsoe ke Jordan Prince (2021).Qetellong ho ile ha etsoa qeto ea hore tšebeliso ea LMA ho ngaka ea meno e ka ba le monyetla oa ho fokotsa kotsi ea hypoxia ea postoperative.

Taba ea bobeli, ts'ebeliso ea "laryngeal mask airway ventilation" nakong ea opereishene e tla etsoa maemong a holimo a tracheal stenosis e tlalehiloe letotong la linyeoe.Celik A (2021) e ile ea sekaseka lirekoto tsa bakuli ba 21 ba ileng ba etsoa opereishene ea tracheal ba sebelisa moea oa LMA pakeng tsa Hlakubele 2016 le Mots'eanong 2020 li ile tsa hlahlojoa ka morao.Qetellong ho ile ha fihleloa qeto ea hore opereishene ea tracheal e thusoang ke LMA ke mokhoa o ka sebelisoang ka mokhoa o sireletsehileng e le mokhoa o tloaelehileng oa ho buuoa ka mafu a kotsi le a kotsi a tsela e ka holimo le e ka tlaase ea moea e etsoang ho bakuli ba bana, bakuli ba tracheostomy, le bakuli ba loketseng ba nang le lefu lena. tracheoesophageal fistula.

Taba ea boraro, ts'ebeliso ea moleng oa bobeli oa LMA taolong ea tsela ea ho beleha moea.Tsela ea ho thibela moea ke sesosa se seholo sa ho kula le ho shoa ha bakhachane (McKeen DM, 2011).Endotracheal intubation e nkoa e le mokhoa o tloaelehileng oa tlhokomelo empa laryngeal mask airway (LMA) e fumane kamohelo e le sefofane sa pholoso 'me e kenyelelitsoe melaong ea tsamaiso ea ho thibela lifofane.Wei Yu Yao (2019) o ile a bapisa Supreme LMA (SLMA) le endotracheal intubation (ETT) ho laola tsela ea moea nakong ea ho beleha 'me a fumana hore LMA e ka ba mokhoa o mong oa ho laola tsela ea moea bakeng sa batho ba khethiloeng ka hloko ba kotsing e tlase, ba nang le ts'oana. ho kenya litekanyetso tsa katleho, ho fokotsa nako ea ho kenya moea le liphetoho tse fokolang tsa hemodynamic ha li bapisoa le ETT.

Litšupiso
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[4] Rahman K, Jenkins JG.Ho hloleha ha tracheal intubation ho obstetrics: ha e sa hlola e etsoa khafetsa empa e ntse e sebetsa hampe.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.Papiso ea Supreme laryngeal mask airway le endotracheal intubation bakeng sa tsamaiso ea sefofane nakong ea anesthesia e tloaelehileng bakeng sa karolo ea cesarean: teko e laoloang ka nako e sa lekanyetsoang.BMC Anesthesiol.2019 Jul 8;19(1):123.doi: 10.1186/s12871-019-0792-9.PMID: 31286883;PMCID: PMC6615212.