Ukusetyenziswa okuninzi kwendlela yomoya yemaski yelaryngeal

Imaski yelaryngeal yaphuhliswa ngempumelelo kwaye yasetyenziswa eklinikhi phakathi kwiminyaka yoo-1980 kwaye yaziswa eTshayina ngeminyaka yoo-1990.Inkqubela phambili enkulu yenziwe ekusebenziseni imaski ye-laryngeal kwaye ukusetyenziswa kwayo kuya kusasazeka ngokubanzi.

Okokuqala, ukusetyenziswa kwe-laryngeal mask airway kwintsimi yamazinyo.Ngokungafaniyo notyando oluninzi lwezonyango, iinkqubo zamazinyo zidla ngokuphazamisa indlela yomoya.Emantla Melika, malunga ne-60% yoogqirha bamazinyo abenzi-intubate, ebonisa ngokucacileyo ukwahluka ekusebenzeni (Omncinci AS, 2018).Ulawulo lwe-Airway luyisihloko esinomdla kuba ukulahlekelwa kwe-airway reflexes ehambelana ne-GA kunokukhokelela kwiingxaki ezinzulu zomoya (Divatia JV, 2005).Ukukhangela okucwangcisiweyo koovimba beenkcukacha ze-elektroniki kunye noncwadi olungwevu lwagqitywa nguJordan Prince (2021).Ekugqibeleni kwagqitywa ukuba ukusetyenziswa kwe-LMA kwi-dentistry inokuba namandla okunciphisa umngcipheko we-postoperative hypoxia.

Okwesibini, ukusetyenziswa kwe-laryngeal mask airway ventilation kutyando oluza kwenziwa kwi-upper tracheal stenosis kuye kwabikwa kuthotho lwamatyala.I-Celik A (2021) yahlalutya iirekhodi zezigulane ze-21 ezenziwe utyando loqhoqhoqho ngokusebenzisa i-LMA yokungena umoya phakathi kuka-Matshi 2016 kunye noMeyi 2020 zavavanywa ngokuphindaphindiweyo.Ekugqibeleni kwagqitywa ukuba utyando loqhoqho oluncediswa yi-LMA yindlela enokusetyenziswa ngokukhuselekileyo njengobuchule obuqhelekileyo kuqhaqho lwezifo eziyingozi neziyingozi zomoya ongasentla nasezantsi owenziwe kwizigulana zabantwana, izigulane ezine-tracheostomy, kunye nezigulana ezifanelekileyo ezineentsholongwane zentliziyo. i-fistula ye-tracheoesophageal.

Okwesithathu, ukusetyenziswa komgca wesibini we-LMA kulawulo lomoya wokubelekisa.Umzila womoya wokubelekisa ungunobangela obalulekileyo wokugula kunye nokufa komama (McKeen DM, 2011).I-Endotracheal intubation ithathwa njengomgangatho wokunyamekela kodwa i-mask laryngeal airway (LMA) ifumene ukwamkelwa njengendlela yokuhlangula kwaye ifakwe kwizikhokelo zolawulo lwe-obstetric airway.U-Wei Yu Yao (2019) wathelekisa i-LMA ePhakeme (SLMA) kunye ne-endotracheal intubation (ETT) ekulawuleni indlela yomoya yokubelekisa ngexesha lokutyalwa kwaye wafumanisa ukuba i-LMA inokuba yenye indlela yokulawula indlela yomoya ekhethwe ngononophelo esezantsi kumngcipheko wabemi bezokubelekisa, ngokufanayo. ukufakwa kwamazinga okuphumelela, ukunciphisa ixesha lokungena komoya kunye notshintsho oluncinci lwe-hemodynamic xa kuthelekiswa ne-ETT.

Iimbekiselo
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