Kugwiritsa ntchito kangapo kwa chigoba cha laryngeal airway

Chigoba cha laryngeal chidapangidwa bwino ndikugwiritsidwa ntchito kuchipatala chapakati pa zaka za m'ma 1980 ndikuyambitsidwa ku China m'ma 1990.Kupita patsogolo kwakukulu kwapangidwa pakugwiritsa ntchito chigoba cha laryngeal ndipo kugwiritsa ntchito kwake kukufalikira kwambiri.

Choyamba, kugwiritsa ntchito chigoba cha laryngeal airway m'munda wamano.Mosiyana ndi maopaleshoni ambiri azachipatala, njira zamano nthawi zambiri zimasokoneza njira yodutsa mpweya.Ku North America, pafupifupi 60% ya madokotala ogonetsa mano amanjenje sakhala nthawi zonse, zomwe zimasonyeza bwino kusiyana kwa machitidwe (Young AS, 2018).Kuwongolera ndege ndi nkhani yochititsa chidwi chifukwa kutayika kwa ma reflexes a airway okhudzana ndi GA kungayambitse zovuta zazikulu zapamsewu (Divatia JV, 2005).Kusaka mwadongosolo pazosungidwa zamakompyuta ndi zolemba za imvi kudamalizidwa ndi Jordan Prince (2021).Potsirizira pake zinatsimikiziridwa kuti kugwiritsa ntchito LMA m'mano a mano kungakhale ndi mwayi wochepetsera chiopsezo cha postoperative hypoxia.

Kachiwiri, kugwiritsidwa ntchito kwa laryngeal mask airway ventilation mu maopaleshoni oti achite kumtunda kwa tracheal stenosis kwanenedwa pamndandanda wamilandu.Celik A (2021) adasanthula zolemba za odwala 21 omwe adachitidwa opaleshoni ya tracheal pogwiritsa ntchito mpweya wa LMA pakati pa Marichi 2016 ndi Meyi 2020 adawunikidwa mobwerezabwereza.Potsirizira pake anaganiza kuti opaleshoni ya LMA yothandizidwa ndi tracheal ndi njira yomwe ingagwiritsidwe ntchito motetezeka ngati njira yokhazikika pa opaleshoni ya matenda oopsa komanso owopsa a njira yapamtunda ndi yapansi yomwe imachitidwa kwa odwala ana, odwala tracheostomy, ndi odwala oyenera omwe ali ndi vuto la mtima. tracheoesophageal fistula.

Chachitatu, kugwiritsa ntchito mzere wachiwiri wa LMA pakuwongolera njira yodutsa mpweya.Njira yapam'mimba ndiyomwe imayambitsa kudwala komanso kufa kwa amayi (McKeen DM, 2011).Endotracheal intubation imaonedwa kuti ndiyo njira ya chisamaliro koma laryngeal mask airway (LMA) yalandira kuvomerezedwa ngati njira yopulumutsira ndege ndipo yaphatikizidwa mu malangizo oyendetsera njira za obstetric airway.Wei Yu Yao (2019) anayerekezera Supreme LMA (SLMA) ndi endotracheal intubation (ETT) poyang'anira njira yapamsewu panthawi ya opaleshoni ndipo adapeza kuti LMA ikhoza kukhala njira ina yoyendetsera njira yapamsewu kwa anthu omwe ali pachiwopsezo chochepa, omwe ali ndi zofanana. kuyika mitengo yopambana, kuchepetsa nthawi yopita ku mpweya wabwino komanso kusintha kochepa kwa hemodynamic poyerekeza ndi ETT.

Maumboni
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