Aikace-aikace da yawa na hanyar iska ta laryngeal mask

An yi nasarar samar da abin rufe fuska na makogwaro kuma an yi amfani da shi a asibiti a tsakiyar shekarun 1980 kuma an gabatar da shi a kasar Sin a shekarun 1990.An sami babban ci gaba a cikin amfani da abin rufe fuska na laryngeal kuma aikace-aikacensa yana ƙara yaduwa.

Na farko, yin amfani da hanyar iska ta laryngeal mask a filin hakori.Ba kamar yawancin fiɗa na likita ba, hanyoyin haƙori yawanci suna kan hanyar iska.A Arewacin Amurka, kusan kashi 60% na likitocin likitan hakora ba sa shigar da su akai-akai, wanda ke bayyana bambance-bambance a aikace (Young AS, 2018).Gudanar da zirga-zirgar jiragen sama wani batu ne mai ban sha'awa saboda hasara na iskar iska da ke hade da GA na iya haifar da rikice-rikice na iska (Divatia JV, 2005).Jordan Prince (2021) ya kammala bincike na tsarin bayanai na lantarki da wallafe-wallafen launin toka.A ƙarshe an kammala cewa yin amfani da LMA a likitan hakora na iya samun yuwuwar rage haɗarin hypoxia bayan tiyata.

Abu na biyu, an ba da rahoton yin amfani da iskar iska ta laryngeal mask a cikin aikin tiyata da za a yi a cikin stenosis na tracheal na sama a cikin jerin lokuta.Celik A (2021) yayi nazarin bayanan majiyyata 21 da aka yi wa tiyatar tracheal ta amfani da iskar LMA tsakanin Maris 2016 da Mayu 2020 an kimanta su a baya.A ƙarshe an kammala cewa tiyatar tracheal ta taimaka wa LMA wata hanya ce da za a iya amfani da ita cikin aminci a matsayin daidaitaccen fasaha a cikin aikin tiyata na marasa lafiya da cututtuka na duka sama da ƙananan hanyoyin iska da aka yi akan marasa lafiya na yara, marasa lafiya tare da tracheostomy, da majinyata masu dacewa. tracheoesophageal fistula.

Na uku, yin amfani da layi na biyu na LMA a cikin kula da hanyar iska ta haihuwa.Hanyar iska ta mahaifa shine babban dalilin cutar cututtukan mahaifa da mace-mace (McKeen DM, 2011).An yi la'akari da intubation na endotracheal a matsayin ma'auni na kulawa amma hanyar iska ta laryngeal mask (LMA) ta sami karbuwa a matsayin hanyar iska ta ceto kuma an shigar da ita cikin jagororin kula da hanyoyin iska na haihuwa.Wei Yu Yao (2019) ya kwatanta Babban LMA (SLMA) tare da intubation na endotracheal (ETT) a cikin sarrafa hanyar iska ta haihuwa a lokacin sashin cesarean kuma ya gano cewa LMA na iya zama wata hanya ta hanyar sarrafa hanyar iska don zaɓaɓɓen ƙananan yara masu haihuwa masu haɗari, tare da irin wannan. ƙimar nasarar shigar, rage lokaci zuwa samun iska da ƙarancin canje-canjen hemodynamic idan aka kwatanta da ETT.

Magana
[1] Matasa AS, Fischer MW, Lang NS, Cooke MR.Gwada tsarin ƙwararrun likitocin haƙori a Arewacin Amirka.Anesth Prog.2018;65 (1):9–15.doi: 10.2344/anpr-64-04-11.
[2]Prince J, Goertzen C, Zanjir M, Wong M, Azarpazhooh A. Rikicin Jirgin Sama a cikin Intubated Versus Laryngeal Mask Jirgin Jirgin Sama Mai Gudanar da Dentistry: Meta-Analysis.Anest Prog.2021 Dec 1; 68 (4): 193-205.doi: 10.2344/anpr-68-04-02.PMID: 34911069;Saukewa: PMC8674849.
[3] Celik A, Sayan M, Kankoc A, Tombul I, Kurul IC, Tastepe AI.Amfani daban-daban na Titin Jirgin Sama na Maƙogwaro Mask yayin aikin tiyatar Tracheal.Thorac Cardiovasc Surg.2021 Dec; 69 (8): 764-768.doi: 10.1055/s-0041-1724103.Epub 2021 Maris 19. PMID: 33742428.
[4] Rahman K, Jenkins JG.Rashin shigar da iskar tracheal a cikin masu haihuwa: ba a sake komawa ba amma har yanzu ana gudanar da shi ba daidai ba.Ciwon ciki.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.Kwatanta babbar hanyar iska ta laryngeal mask tare da intubation na endotracheal don sarrafa hanyar iska yayin maganin sa barci na gabaɗaya don sashin cesarean: gwaji mai sarrafawa bazuwar.BMC Anesthesiol.2019 Yuli 8; 19 (1): 123.doi: 10.1186/s12871-019-0792-9.PMID: 31286883;Saukewa: PMC6615212.