Ntau daim ntawv thov ntawm daim npog ntsej muag laryngeal

Lub ntsej muag laryngeal tau ua tiav tiav thiab siv kho mob hauv nruab nrab xyoo 1980s thiab tau qhia hauv Suav teb xyoo 1990.Kev vam meej tau ua tiav los ntawm kev siv lub ntsej muag laryngeal thiab nws daim ntawv thov tau nce zuj zus.

Ua ntej, kev siv laryngeal daim npog qhov ncauj hauv kev kho hniav.Tsis zoo li feem ntau cov kev phais kho mob, cov txheej txheem kho hniav feem ntau cuam tshuam rau txoj hlab pa.Hauv North America, kwv yees li 60% ntawm cov kws kho hniav tshuaj loog tsis tu ncua intubate, uas qhia meej txog qhov sib txawv ntawm kev xyaum (Young AS, 2018).Kev tswj hwm txoj kev dav hlau yog ib lub ntsiab lus ntawm kev txaus siab vim tias qhov poob ntawm txoj hlab ntsws reflexes cuam tshuam nrog GA tuaj yeem ua rau muaj teeb meem hauv txoj hlab ntsws loj (Divatia JV, 2005).Kev tshawb fawb ntawm cov ntaub ntawv hluav taws xob thiab cov ntaub ntawv grey tau ua tiav los ntawm Jordan Prince (2021).Nws tau xaus lus tias kev siv LMA hauv kev kho hniav yuav muaj peev xwm txo tau qhov kev pheej hmoo ntawm kev mob ntshav qab zib hypoxia.

Qhov thib ob, kev siv lub ntsej muag lub ntsej muag ntawm lub qhov cua hauv qhov kev phais kom ua rau sab sauv tracheal stenosis tau tshaj tawm hauv rooj plaub.Celik A (2021) tau txheeb xyuas cov ntaub ntawv ntawm 21 tus neeg mob uas tau txais kev phais tracheal siv LMA qhov cua thaum lub Peb Hlis 2016 thiab Tsib Hlis 2020 tau soj ntsuam rov qab.Thaum kawg nws tau xaus lus tias LMA-pab kev phais tracheal yog ib txoj kev uas yuav siv tau yam xyuam xim raws li tus qauv txheej txheem nyob rau hauv kev phais ntawm benign thiab malignant kab mob ntawm ob sab sauv thiab sab hauv cov hlab ntsha ua rau cov me nyuam mos, cov neeg mob nrog tracheostomy, thiab haum cov neeg mob. tracheoesophageal fistula.

Thib peb, qhov thib ob-kab siv LMA hauv kev tswj cov hlab ntsha hauv obstetric.Txoj kev obstetric airway yog ib qho tseem ceeb ua rau niam thiab txiv tuag (McKeen DM, 2011).Endotracheal intubation yog suav tias yog tus qauv ntawm kev saib xyuas tab sis lub laryngeal daim npog qhov ncauj qhov ntswg (LMA) tau txais kev lees paub raws li txoj kev cawm seej thiab tau muab tso rau hauv cov txheej txheem tswj kev ua pa ntawm obstetric.Wei Yu Yao (2019) muab piv rau Supreme LMA (SLMA) nrog endotracheal intubation (ETT) hauv kev tswj cov hlab ntsws obstetric thaum lub sij hawm phais thiab pom tias LMA tuaj yeem yog lwm txoj hauv kev tswj kev ua pa rau kev ua tib zoo xaiv cov neeg muaj kev pheej hmoo tsawg tsawg, nrog zoo sib xws. Kev nkag mus tau zoo, txo lub sij hawm rau qhov cua thiab tsawg dua hemodynamic hloov piv nrog ETT.

Cov ntaub ntawv
[1] Young AS, Fischer MW, Lang NS, Cooke MR.Xyaum cov qauv ntawm kws kho hniav anesthesiologists hauv North America.Anesth Prog.2018; 65(1:9–15.doi: 10.2344/anpr-64-04-11 ib.
[2] Tub Vaj Ntxwv J, Goertzen C, Zanjir M, Wong M, Azarpazhooh A. Cov Teeb Meem Hauv Cov Cuab Yeej Hauv Intubated Versus Laryngeal Mask Airway-Managed Dentistry: Meta-Analysis.Anesth Prog.2021 Dec 1; 68(4): 193-205.doi: 10.2344/anpr-68-04-02 ib.PIB: 34911069;PIB: PMC8674849.
[3]Celik A, Sayan M, Kankoc A, Tombul I, Kurul IC, Taspee AI.Kev siv ntau yam ntawm Laryngeal Mask Airway thaum Tracheal Surgery.Thorac Cardiovasc Surg.2021 Dec; 69(8): 764-768.doi: 10.1055/s-0041-1724103 ib.Epub 2021 Mar 19. PMID: 33742428.
[4] Rahman K, Jenkins JG.Ua tsis tiav tracheal intubation hauv obstetrics: tsis muaj ntau zaus tab sis tseem tswj tsis tau zoo.Kev ua xua.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.Kev sib piv ntawm Supreme laryngeal mask airway vs endotracheal intubation for airway management during general anesthesia for the cesarean section: a randomized controlled trial.BMC tshuaj loog.2019 Lub Xya hli ntuj 8; 19(1): 123.doi: 10.1186/s12871-019-0792-9.PIB: 31286883;PIB: PMC6615212.