Laryngeal Mask Anaesthesia and Recurrent Swallowing

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Laryngeal mask airway insertion anaesthesia and insertion techniques.

Laryngeal Mask Airway has gained wide acceptance for routine airway management, difficult airway and in emergency situations. The classical method of insertion was recommended by Dr Brain. Over the years various induction and insertion techniques have been described with variable results. Combination of induction agents with narcotics, with or without small dose muscle relaxants has been found ...

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Laryngeal mask airway performance: effect of cuff deflation during anaesthesia.

We studied the effect of deflating the laryngeal mask airway (LMA) cuff in situ on recorded respiratory tidal ventilation in 30 spontaneously breathing anaesthetized patients. Another 26 patients were studied in whom the LMA cuff was undisturbed. Deflation of the cuff to a pressure of 22 mm Hg (below an estimated arteriolar perfusion pressure of the pharyngeal mucosa), by removing approximately...

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An implementation program targeted at non-physician, anaesthesia assistants improves the quality of laryngeal mask anaesthesia

The laryngeal mask airway (LMA) is used to facilitate adequate ventilation in the majority of procedures requiring general anaesthesia in the UK. Excessive LMA cuff pressure and/or volume, generated by injection of air to form an adequate seal within the upper airway, has been associated with pharyngolaryngeal morbidity, an indicator of quality in anaesthetic practice. However, measurement of L...

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Randomized comparison of laryngeal tube with classic laryngeal mask airway for anaesthesia with controlled ventilation.

BACKGROUND Only a prototype laryngeal tube has been compared with the classic LMA for brief periods of anaesthesia. We compared the new laryngeal tube (which had several improvements in design) with the classic LMA. METHODS We randomly allocated 72 patients to receive either the laryngeal tube or an LMA, and compared adequacy of controlled ventilation during anaesthesia (good: clear airway wi...

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Assessment of recurrent laryngeal nerve during thyroid surgery with laryngeal mask airway.

OBJECTIVE To study the feasibility of using laryngeal mask anesthesia (LMA) with bronchoscopic evaluation of recurrent laryngeal nerve (RLN) integrity when stimulated. DESIGN Single-institution prospective case series. SETTING A single, mid-Atlantic region academic medical center. PATIENTS Twenty-seven adult volunteers. INTERVENTIONS Laryngeal mask anesthesia for thyroid surgery, monito...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 1991

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x9101900226