喉罩的使用麻醉（英文）

《喉罩的使用麻醉（英文）》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、UsingtheLaryngealMaskAirwayNormanL.Goody,MDObjectiveUsingtheLMALMAandtheDifficultAirwayLMAandPediatricAnesthesiaLMAandOBAnesthesiaAdvantagesofUsingtheLMADisadvantagesoftheLMAComplicationsArisingfromUseoftheLMAContraindicationstoUsingtheLMAHistoryoftheLMAdevelopmentbeganin1981atRoyalLondonHospit

2、albyDr.ArchieBrainmodificationoftheGoldmanDentalMaskavailablecommerciallyinUKsince1988andintheUSsince1992nowusedin>50%ofgeneralanestheticsinsomecentersinUK(andprobablyUS,too-especiallyambulatorysurgery)CharacteristicsoftheLMALatexfree,medical-gradesiliconeAperturebarsSizes#1<6.5kg2-5ml#26.5-25k

3、g7-10ml#21/220-30kg14ml#325-70kg15-20ml#470+kg25-30mlUsingtheLMAPreparationoftheLMACheckpatencyofcuffLubricatePOSTERIORsurfaceonlySurgilubev.lidocainejellyInductionInsertionoftheLMACommonProblemsCricoidPressureSecuringtheLMAUsingtheLMAMaintenanceofAnesthesiaRemovaloftheLMACleaning,Sterilization

4、andRe-useDeterminingLifeSpanofLMAintendedfor40-50uses,buthighlyover-manufacturedtuberemainstranslucentaperturebarsremainintactcuffdeflatescorrectlynovalveleakagecuffremainssymmetricpilotballoonretainsshapeconnectorremainstight/notbrokenTHELMAISNOTDISPOSABLELMAandtheDifficultAirwayAwakeIntubatio

5、nDifficultMASKAirwayBlindIntubationFailedIntubationFiberopticBronchoscopyandtheLMAEmergentIntubationbyanUnskilledProviderLMAandPediatricAnesthesiaDL&BtrachealstenosisdifficultairwayAccuracyofEnd-tidalCO2inPediatricsusingLMA22children,mechanicallyventilatedtoastableETCO2ventilationviatheLMAmeanE

6、TCO2andPaCO2obtainedwere37.7+/-3.3and41.9+/-9.09,respectivelyventilationviaETTmeanETCO2andPaCO2obtainedwere35.2+/-2.9and39.2+/-5.25,respectivelyLMAETCO2isasaccurateanindicatorofPaCO2aswhenventilatedviaETTAnesthAnalgFeb;82(2):247-50LMAandOBAnesthesiaQuestionnaireto250anesthesiologistsintheUKLMAw

7、asavailablein91.4%ofobstetricunits72%wereinfavorofusingLMAforfailedintubationwithinadequateventilationviafacemask24hadexperiencewithLMAinsuchasituation,8ofwhichstatedthatLMAhadprovedtobea“lifesaver”AuthorsbelievedthatweshoulduseLM