Laryngeal Masks
Masks
Intubation, Intratracheal
Fiber Optic Technology
Air Pressure
Laryngoscopy
Anesthesia, General
Cricoid Cartilage
Laryngismus
Anesthesia, Inhalation
Larynx
Epiglottis
Neuromuscular Blockade
Respiration, Artificial
Airway Management
Anesthesia
Oropharynx
Positive-Pressure Respiration
Propofol
Anesthetics, Intravenous
Pneumonia, Aspiration
Glottis
Immobilization
Intubation, Gastrointestinal
Fentanyl
Pharynx
Intubation
Anesthesia, Intravenous
Tracheostomy
Laryngeal Mucosa
Expiratory Reserve Volume
Pressure
Cross-Over Studies
Tidal Volume
Ambulatory Surgical Procedures
Anesthetics, Inhalation
Insufflation
Recurrent Laryngeal Nerve
Polyvinyl Chloride
Emergency Medical Technicians
Neuromuscular Depolarizing Agents
Monitoring, Intraoperative
Nitrous Oxide
Anesthetics, Combined
Intermittent Positive-Pressure Ventilation
Respiratory Protective Devices
Succinylcholine
Autoclaving impairs the connector-tube bond of the laryngeal mask airway but not its airtightness. (1/319)
The general-purpose laryngeal mask airway (LMA) is re-usable when undamaged, and cleaned and autoclaved correctly. We had found weakening of the silicone adhesive that bonds the connector of the LMA to the tube. We report that repeated autoclaving damaged the adhesive such that the connector could be rotated in the tube after the 12th autoclave cycle in almost all of the LMA tested. The damage to the adhesive did not affect the airtightness of the junction, which appears to be maintained by the material properties of the connector and tube and by the shape of the join. (+info)Pharyngeal mucosal pressures, airway sealing pressures, and fiberoptic position with the intubating versus the standard laryngeal mask airway. (2/319)
BACKGROUND: The tube of the intubating laryngeal mask (ILM) is more rigid than the standard laryngeal mask airway (LMA), and the authors have tested the hypothesis that pharyngeal mucosal pressures, airway sealing pressures, and fiberoptic position are different when the two devices are compared. METHODS: Twenty anesthetized, paralyzed adults were randomly allocated to receive either the LMA or ILM for airway management. Microchip sensors were attached to the size 5 LMA or ILM at locations corresponding to the pyriform fossa, hypopharynx, base of tongue, posterior pharynx, and distal and proximal oropharynx. Mucosal pressures, airway sealing pressures, and fiberoptic positioning were recorded during inflation of the cuff from 0 to 40 ml in 10-ml increments. RESULTS: Airway sealing pressures were higher for the ILM (30 vs. 23 cm H2O), but epiglottic downfolding was more common (56% vs. 26%). Pharyngeal mucosal pressures were much higher for the ILM at five of six locations. Mean mucosal pressures in the distal oropharynx for the ILM were always greater than 157 cm H2O, regardless of cuff volume. There was no correlation between mucosal pressures and airway sealing pressures at any location for the LMA, but there was a correlation at three of six locations for the ILM. CONCLUSIONS: The ILM provides a more effective seal than the LMA, but pharyngeal mucosal pressures are higher and always exceed capillary perfusion pressure. The ILM is unsuitable for use as a routine airway and should be removed after its use as an airway intubator. (+info)Nasopharyngeal symptoms in patients with obstructive sleep apnea syndrome. Effect of nasal CPAP treatment. (3/319)
BACKGROUND: Nasal side effects are often reported during nasal continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea syndrome (OSAS) and may make the use of nasal CPAP difficult. OBJECTIVE: The aim of this study was to evaluate the effect of nasal CPAP on nasopharyngeal symptoms in OSAS patients. METHODS: The frequency and severity of nasopharyngeal symptoms and signs were prospectively evaluated in 49 consecutive OSAS patients (37 men, 12 women, mean (SD) age 54 (7) years, body mass index 35 (6) kg/m2) immediately before and after 6 months' treatment with nasal CPAP. RESULTS: Nasopharyngeal symptoms were common already before starting nasal CPAP: 74% of patients reported dryness, 53% sneezing, 51% mucus in the throat, 45% blocked nose, and 37% rhinorrhea. During nasal CPAP treatment, severity and frequency of sneezing (75%) and rhinorrhea (57%) increased. This increase was related to the season when nasal CPAP was applied, and was more profound in winter than in summer. Mild abnormalities on rhinoscopy and paranasal sinus X-rays were common both at baseline and at follow-up with no significant change during treatment. CONCLUSIONS: Nasopharyngeal problems were found to be frequent in patients with OSAS before nasal CPAP treatment, and tended to increase during the treatment. (+info)Hemodynamic effects of bilevel nasal positive airway pressure ventilation in patients with heart failure. (4/319)
AIMS: Benefits of nasal continuous positive airway pressure (CPAP) in patients presenting with chronic heart failure (CHF) are controversial. The purpose of this study was to compare the hemodynamic effects of CPAP and bilevel positive airway pressure (BiPAP) in patients with or without CHF. METHODS AND RESULTS: Twenty patients with CHF and 7 with normal left ventricular function underwent cardiac catheterization. Measurements were made before and after three 20-min periods of BiPAP: expiratory positive airway pressure (EPAP) = 8 cm H2O and inspiratory positive airway pressure (IPAP) = 12 cm H2O, EPAP = 10 cm H2O and IPAP = 15 cm H2O, and CPAP = EPAP = IPAP = 10 cm H2O administered in random order. Positive pressure ventilation decreased cardiac output (CO) and stroke volume. No change was observed in either pulmonary or systemic arterial pressure. There was no difference in the hemodynamic effects of the three ventilation settings. Only mean pulmonary wedge pressure (MPWP) and heart rate were lower with CPAP than with BiPAP. CO decreased only in patients with low MPWP (+info)Large goitre causing difficult intubation and failure to intubate using the intubating laryngeal mask airway: lessons for next time. (5/319)
A 63-yr-old woman was anaesthetized for sub-total thyroidectomy. The thyroid gland was large, deviating the trachea to the right and causing 30% tracheal narrowing at the level of the suprasternal notch. Mask ventilation was easy but laryngoscopy was Cormack and Lehane grade 3. Despite being able to see the tip of the epiglottis, tracheal intubation was impossible. An intubating laryngeal mask was inserted and although the airway was clear and ventilation easy, it was not possible to intubate the trachea either blindly or with the fibreoptic bronchoscope. Tracheal intubation was eventually achieved using a 6.5-mm cuffed oral tracheal tube via a size 4 laryngeal mask under fibreoptic control. We describe the case in detail and discuss the use of the intubating laryngeal mask, its potential limitations and how to optimize its use in similar circumstances. (+info)Use of the cuffed oropharyngeal airway as an alternative to the laryngeal mask airway with positive-pressure ventilation. (6/319)
BACKGROUND: The cuffed oropharyngeal airway is a modified Guedel-type oral airway with a cuff at its distal end. The objectives of this study were to compare the ability of the cuffed oropharyngeal airway and the laryngeal mask airway to provide positive-pressure ventilation during general anesthesia, and to assess their relative ease of use and ability to reduce total fresh gas flow rates. METHODS: In this prospective, randomized study, a cuffed oropharyngeal airway (n = 25) or a laryngeal mask airway (n = 25) device was inserted after induction of anesthesia intravenously using 2 mg/kg propofol. While anesthesia was maintained with sevoflurane and nitrous oxide, the leak pressure, leak fraction (the fractional difference between the inspired and expired tidal volume), minimum fresh gas flow rate, and need for airway manipulations were determined. The anesthesia provider who inserted the device completed an evaluation form at the end of the 15-min study period. RESULTS: Positive-pressure ventilation was established successfully on the first attempt in 92% of the patients when the cuffed oropharyngeal airway was used and in 88% of the patients when the laryngeal mask airway device was used. However, manipulations of the airway device were necessary more frequently (8 vs. 1 patient; P < 0.05) and the leak pressure was less (22 +/- 6 cm water vs. 26 +/- 5 cm water; P < 0.05) with the cuffed oropharyngeal airway than with the laryngeal mask airway. In addition, the leak fraction (0.19 +/- 0.18 vs. 0.31 +/- 0.22; P < 0.05) and the minimum fresh gas flow rate (1.3 +/- 1.5 vs. 2.4 +/- 2.5; P = 0.12) were less in the laryngeal mask airway group. CONCLUSIONS: Positive-pressure ventilation is possible with the laryngeal mask airway and cuffed oropharyngeal airway devices. Although the cuffed oropharyngeal airway can be inserted easily by inexperienced users with a high first-attempt success rate (> 90%), manipulations of the device may be required to maintain a patent airway. The laryngeal mask airway device allows positive-pressure ventilation at slightly greater peak inspiratory pressures. (+info)Preliminary evaluation of a new prototype laryngeal mask in children. (7/319)
We have assessed a prototype laryngeal mask airway (pLMA) in 50 anaesthetized children for ease of insertion, oropharyngeal leak pressures, gastric insufflation and fibreoptic position. The pLMA has a second smaller mask, which rests against the upper oesophageal sphincter, and a second cuff to increase the seal pressure of the glottic mask. All insertions were graded as easy and an effective airway was achieved in all patients. Oropharyngeal leak pressure was > 40 cm H2O in 49 of 50 patients. Gastric insufflation was not detected by epigastric auscultation. In 46 of 50 patients, the vocal cords were seen via a fibreoptic laryngoscope. One patient regurgitated clear fluid, but aspiration did not occur. On removal, blood staining was detected in three of 50 children. We conclude that the pLMA was easy to insert, facilitated high airway pressure ventilation and may provide some protection against gastric insufflation. (+info)Prediction of movement at laryngeal mask airway insertion: comparison of auditory evoked potential index, bispectral index, spectral edge frequency and median frequency. (8/319)
We have studied 46 patients to compare the efficacy of the auditory evoked potential (AEP) index, bispectral index (BIS), 95% spectral edge frequency (SEF) and median frequency (MF) in predicting movement in response to insertion of the laryngeal mask airway (LMA). Anaesthesia was induced with target-controlled infusions of propofol and alfentanil. After loss of eyelash reflex and adequate jaw relaxation, the LMA was inserted without the assistance of a laryngoscope or neuromuscular blocker. Patients who showed any visible spontaneous muscle movement within 1 min of LMA insertion were defined as movers. Values in movers and non-movers at 30 s before LMA insertion were analysed. Only AEP index discriminated between movers and non-movers with a prediction probability of 0.872. BIS, SEF and MF could not predict movement at LMA insertion. AEP index was the most reliable predictor of movement in response to LMA insertion. (+info)Pharyngitis is a medical condition characterized by inflammation of the pharynx, which is the back of the throat. It can be caused by a viral or bacterial infection, allergies, irritants, or other factors. Symptoms of pharyngitis may include sore throat, difficulty swallowing, fever, cough, and headache. In some cases, pharyngitis may be accompanied by tonsillitis, which is inflammation of the tonsils located at the back of the throat. Treatment for pharyngitis depends on the underlying cause and may include medications such as antibiotics, antiviral drugs, or over-the-counter pain relievers. In some cases, rest and hydration may be sufficient to help the body fight off the infection.
Laryngismus is a condition characterized by spasms or involuntary contractions of the muscles of the larynx, which is the voice box. These spasms can cause difficulty in speaking, breathing, or both. Laryngismus can be caused by a variety of factors, including emotional stress, physical trauma, or certain medical conditions such as Parkinson's disease or multiple sclerosis. Treatment for laryngismus typically involves addressing the underlying cause of the spasms, as well as using medications or other therapies to manage the symptoms. In severe cases, surgery may be necessary to correct structural abnormalities in the larynx.
Airway obstruction refers to a blockage or narrowing of the airways that prevents air from flowing freely in and out of the lungs. This can occur due to a variety of factors, including inflammation, swelling, mucus production, foreign objects, or physical compression of the airways. Airway obstruction can be classified as either partial or complete. Partial airway obstruction is when the airway is narrowed but not completely blocked, while complete airway obstruction is when the airway is completely blocked, preventing air from entering or leaving the lungs. Airway obstruction can be a serious medical condition, particularly if it is not treated promptly. It can lead to difficulty breathing, shortness of breath, wheezing, coughing, and even respiratory failure if left untreated. Treatment for airway obstruction depends on the underlying cause and may include medications, oxygen therapy, or in severe cases, emergency medical intervention such as intubation or surgery.
Propofol is a medication that is commonly used in the medical field for anesthesia. It is a short-acting sedative-hypnotic drug that is administered intravenously to induce and maintain general anesthesia. Propofol works by binding to specific receptors in the brain, which leads to a loss of consciousness and muscle relaxation. It is often used in combination with other anesthetic drugs and is also used to manage pain and anxiety in intensive care units and during medical procedures. Propofol is a powerful drug and can cause serious side effects if not administered properly, so it is typically only used by trained medical professionals in a controlled setting.
Pneumonia, aspiration is a type of pneumonia that occurs when bacteria, viruses, or other foreign substances are inhaled into the lungs and cause an infection. Aspiration pneumonia occurs when a person inhales food, liquid, or other substances into their lungs, which can lead to the growth of bacteria or other microorganisms in the lungs. This can cause inflammation and damage to the lung tissue, leading to symptoms such as coughing, fever, chest pain, and difficulty breathing. Aspiration pneumonia is more common in people who have difficulty swallowing or who have conditions that affect their ability to protect their airway, such as stroke or dementia. Treatment for aspiration pneumonia typically involves antibiotics to treat the infection and supportive care to help the person breathe more easily.
Methyl ethers are organic compounds that contain a methyl group (CH3) attached to an oxygen atom. They are a type of ether, which is a functional group consisting of an oxygen atom bonded to two alkyl or aryl groups. In the medical field, methyl ethers are used as anesthetic agents, particularly for induction of anesthesia. They are also used as solvents and as intermediates in the synthesis of other compounds. Some methyl ethers have been found to have potential medicinal properties, such as anti-inflammatory and analgesic effects. One example of a methyl ether used in medicine is methoxyflurane, which was once a common anesthetic but has been largely replaced by other agents due to its potential for toxicity and side effects. Other methyl ethers that have been studied for their potential medicinal properties include diisopropyl ether and tert-butyl methyl ether.
Fentanyl is a synthetic opioid pain medication that is approximately 100 times more potent than morphine. It is used to treat severe pain, such as that caused by cancer or after surgery. Fentanyl is available in a variety of forms, including tablets, lozenges, patches, and injections. It is also sometimes used in combination with other medications, such as hydromorphone or oxycodone, to increase their effectiveness. Fentanyl can be highly addictive and can cause respiratory depression, which can be life-threatening. It is important to use fentanyl only under the guidance of a healthcare professional and to follow their instructions carefully.
Hypoglossal nerve injuries refer to damage or dysfunction of the hypoglossal nerve, which is the twelfth cranial nerve in the human body. The hypoglossal nerve is responsible for controlling the muscles of the tongue, including its movement, position, and sensation. Injuries to the hypoglossal nerve can result from a variety of causes, including trauma, tumors, infections, and degenerative diseases. Symptoms of hypoglossal nerve injuries may include difficulty swallowing, speech problems, tongue weakness or paralysis, and difficulty moving the tongue. Treatment for hypoglossal nerve injuries depends on the underlying cause and severity of the injury. In some cases, conservative treatments such as physical therapy or speech therapy may be effective in improving symptoms. In more severe cases, surgery may be necessary to repair or replace damaged nerve tissue.
Dysphonia is a medical term that refers to a disorder of voice production. It is characterized by an abnormal sound or quality of the voice, which can result from a variety of factors, including problems with the vocal cords, the muscles that control the vocal cords, or the nerves that supply these structures. There are several different types of dysphonia, including: * Benign vocal fold lesions: These are non-cancerous growths or abnormalities on the vocal cords that can cause hoarseness or other changes in voice quality. * Inflammatory disorders: These can include conditions such as laryngitis, which is inflammation of the larynx (voice box), or vocal cord nodules, which are small, benign growths on the vocal cords. * Neuromuscular disorders: These can include conditions such as Parkinson's disease, which can affect the muscles that control the vocal cords, or myasthenia gravis, which can affect the nerves that supply these muscles. *:,、。 Dysphonia can be caused by a variety of factors, including infection, injury, or long-term use of the voice. It can also be a symptom of an underlying medical condition, such as cancer or a neurological disorder. Treatment for dysphonia depends on the underlying cause and may include medications, voice therapy, or surgery. In some cases, a referral to a specialist, such as a speech-language pathologist or an otolaryngologist (ear, nose, and throat doctor), may be necessary.
Polyvinyl chloride (PVC) is a synthetic plastic polymer that is commonly used in the medical field for a variety of applications. PVC is a flexible and durable material that is resistant to water, chemicals, and bacteria, making it ideal for use in medical devices and equipment. In the medical field, PVC is often used to make tubing and catheters, which are used to deliver medication, fluids, or other substances directly to the bloodstream or other body cavities. PVC is also used to make medical bags and containers, such as IV bags and syringe barrels, as well as medical garments, such as surgical gowns and masks. PVC is a versatile material that can be easily molded and shaped to fit a wide range of medical applications. However, it is important to note that PVC can release harmful chemicals when it is heated or exposed to certain chemicals, which can be a concern in some medical settings. As a result, many medical facilities are now using alternative materials, such as polypropylene or polyethylene, which are safer and more environmentally friendly.
Nitrous oxide, also known as laughing gas, is a colorless, odorless gas that is commonly used in the medical field as an anesthetic and analgesic. It is a potent analgesic, meaning it can help to reduce pain and discomfort during medical procedures, and it is also a sedative, meaning it can help to calm and relax patients. In medical settings, nitrous oxide is typically administered through a mask that covers the patient's nose and mouth. The gas is mixed with oxygen and inhaled by the patient, which helps to produce a feeling of relaxation and euphoria. Nitrous oxide is often used in combination with other anesthetics, such as local anesthetics or general anesthesia, to provide a more complete and effective anesthetic. Nitrous oxide is considered to be a relatively safe anesthetic, with few side effects. However, it can cause dizziness, lightheadedness, and nausea in some patients, and it can also cause a temporary decrease in blood pressure. As with any anesthetic, it is important for patients to follow their doctor's instructions carefully and to report any side effects or concerns to their healthcare provider.
Succinylcholine is a muscle relaxant medication that is commonly used during general anesthesia to facilitate tracheal intubation and to maintain muscle relaxation during surgery. It works by blocking the action of acetylcholine, a neurotransmitter that triggers muscle contractions. Succinylcholine is a depolarizing muscle relaxant, which means that it directly affects the muscle fibers themselves, rather than acting on the nervous system. It is a short-acting drug, with a duration of action of approximately 5-10 minutes, and is typically given intravenously. However, it can cause side effects such as muscle fasciculations, hyperkalemia, and postoperative myalgias.
Laryngeal mask airway
Blind insertion airway device
Peter Baskett
Advanced airway management
Laryngoscopy
Freeman-Sheldon syndrome
Rapid sequence induction
Laryngeal tube
Airway management
Neonatal resuscitation
Archie Brain
Arytenoid cartilage
Chandra Mohan Kumar
Bag valve mask
Advanced emergency medical technician
Procedural sedation and analgesia
Henrik Verder
Chondrolaryngoplasty
Advanced airway
Combitube
Hysteroscopy
Mechanical ventilation
Marshall-Smith syndrome
Tracheal intubation
Inhalational anesthetic
Respiratory arrest
List of MeSH codes (J01)
List of MeSH codes (E05)
Anesthetic technician
List of MeSH codes (E07)
How To Insert a Laryngeal Mask Airway - Critical Care Medicine - MSD Manual Professional Edition
Rotational vs. standard smooth laryngeal mask airway insertion in adults. | J Coll Physicians Surg Pak;22(5): 275-9, 2012 May....
Cardiopulmonary Resuscitation (CPR): Practice Essentials, Background, Indications & Contraindications
Bullard Laryngoscopy: Overview, Periprocedural Care, Technique
Bullard Laryngoscopy: Overview, Periprocedural Care, Technique
ICTRP Search Portal Advanced Search
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MESH TREE NUMBER CHANGES - 2012 MeSH. August 19, 2011
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NIOSHTIC-2 Search Results - Full View
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CLASSIFICATION OF DISEASES AND INJURIES
Intubating laryngeal mask a2
Supraglottic airway device1
- The laryngeal mask airway (LMA) is a supraglottic airway device developed by British Anesthesiologist Dr. Archi Brain. (medscape.com)
Intubation1
- A type of oropharyngeal airway that provides an alternative to endotracheal intubation and standard mask anesthesia in certain patients. (nih.gov)
Ventilation3
- Initially designed for use in the operating room as a method of elective ventilation, it is a good alternative to bag-valve-mask ventilation , freeing the hands of the provider with the benefit of less gastric distention. (medscape.com)
- [ 8 ] Its use results in less gastric distention than with bag-valve-mask ventilation, which reduces but does not eliminate the risk of aspiration. (medscape.com)
- Laryngeal mask airway (LMA) ventilation is a method for providing rescue ventilation to unconscious patients or patients without a gag reflex that is technically easier than use of most other effective ventilatory methods. (msdmanuals.com)
Larynx1
- Bullard laryngoscopy allows visualization of the larynx without requiring alignment of the pharyngeal, laryngeal, and oral axes. (medscape.com)
Anesthesia3
- The laryngeal mask airway (LMA) is an acceptable alternative to mask anesthesia in the operating room. (medscape.com)
- Impacts of Ultrasound-Guided Nerve Block Combined with General Anesthesia with Laryngeal Mask on the Patients with Lower Extremity Fractures. (bvsalud.org)
- The advantages over standard mask anesthesia are better airway control, minimal anesthetic gas leakage, a secure airway during patient transport to the recovery area, and minimal postoperative problems. (nih.gov)
Oral1
- This randomized, non-inferiority trial evaluated the safety and efficacy of HFNO compared with laryngeal mask airway (LMA) in pediatric ambulatory oral surgery under deep sedation. (nih.gov)