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The Laryngeal Mask Airway: technical guidelines and use in special situations | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 5, Issue 2, 2006, Pages 230-239 PDF (0 K) | ||
| Author | ||
| Ahmed Abdulameer SALIH | ||
| Abstract | ||
| Summary: Recent advances in airway management have changed the practice of anesthesia. Among these changes has been the introduction and increasing use of the Laryngeal Mask Airway (LMA). The laryngeal mask airway (LMA) is a novel device that fills the gap in airway management between tracheal intubation and use of the face mask. This study describes the LMA, different methods of LMA insertion, uses, advantages, problems, complications and contraindications of LMA. During eight years of LMA use in Al-Yarmook teaching hospital in Baghdad, the device was used for wide spectrum of surgical procedures successfully. We report some special series of cases were LMAs were used in providing a patent airway include LMA use with IPPV (intermittent positive pressure ventilation), for patient with history of failed intubation, for children who require general anesthesia for ultrasonic shock wave lithotripsy, the use of reinforce flexible LMA for nasal surgery and the use of total intravenous anaesthesia with LMA. Also we describe two methods of blind endotracheal intubation through LMA. | ||
| Keywords | ||
| Equipment; Anaesthesia techniques | ||
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