A type of oropharyngeal airway that provides an alternative to endotracheal intubation and standard mask anesthesia in certain patients. It is introduced into the hypopharynx to form a seal around the larynx thus permitting spontaneous or positive pressure ventilation without penetration of the larynx or esophagus. It is used in place of a facemask in routine anesthesia. 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.
Devices that cover the nose and mouth to maintain aseptic conditions or to administer inhaled anesthetics or other gases. (UMDNS, 1999)
A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.
The technology of transmitting light over long distances through strands of glass or other transparent material.
The force per unit area that the air exerts on any surface in contact with it. Primarily used for articles pertaining to air pressure within a closed environment.
Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
Apparatus, devices, or supplies intended for one-time or temporary use.
Inflammation of the throat (PHARYNX).
The small thick cartilage that forms the lower and posterior parts of the laryngeal wall.
A disorder in which the adductor muscles of the VOCAL CORDS exhibit increased activity leading to laryngeal spasm. Laryngismus causes closure of the VOCAL FOLDS and airflow obstruction during inspiration.
Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.
A tubular organ of VOICE production. It is located in the anterior neck, superior to the TRACHEA and inferior to the tongue and HYOID BONE.
A thin leaf-shaped cartilage that is covered with LARYNGEAL MUCOSA and situated posterior to the root of the tongue and HYOID BONE. During swallowing, the epiglottis folds back over the larynx inlet thus prevents foods from entering the airway.
Methods of creating machines and devices.
The intentional interruption of transmission at the NEUROMUSCULAR JUNCTION by external agents, usually neuromuscular blocking agents. It is distinguished from NERVE BLOCK in which nerve conduction (NEURAL CONDUCTION) is interrupted rather than neuromuscular transmission. Neuromuscular blockade is commonly used to produce MUSCLE RELAXATION as an adjunct to anesthesia during surgery and other medical procedures. It is also often used as an experimental manipulation in basic research. It is not strictly speaking anesthesia but is grouped here with anesthetic techniques. The failure of neuromuscular transmission as a result of pathological processes is not included here.
Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).
Evaluation, planning, and use of a range of procedures and airway devices for the maintenance or restoration of a patient's ventilation.
A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.
The middle portion of the pharynx that lies posterior to the mouth, inferior to the SOFT PALATE, and superior to the base of the tongue and EPIGLOTTIS. It has a digestive function as food passes from the mouth into the oropharynx before entering ESOPHAGUS.
Any hindrance to the passage of air into and out of the lungs.
A method of mechanical ventilation in which pressure is maintained to increase the volume of gas remaining in the lungs at the end of expiration, thus reducing the shunting of blood through the lungs and improving gas exchange.
An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.
Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)
A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.
Continuous recording of the carbon dioxide content of expired air.
The vocal apparatus of the larynx, situated in the middle section of the larynx. Glottis consists of the VOCAL FOLDS and an opening (rima glottidis) between the folds.
The restriction of the MOVEMENT of whole or part of the body by physical means (RESTRAINT, PHYSICAL) or chemically by ANALGESIA, or the use of TRANQUILIZING AGENTS or NEUROMUSCULAR NONDEPOLARIZING AGENTS. It includes experimental protocols used to evaluate the physiologic effects of immobility.
The insertion of a tube into the stomach, intestines, or other portion of the gastrointestinal tract to allow for the passage of food products, etc.
A group of compounds that contain the general formula R-OCH3.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
A funnel-shaped fibromuscular tube that conducts food to the ESOPHAGUS, and air to the LARYNX and LUNGS. It is located posterior to the NASAL CAVITY; ORAL CAVITY; and LARYNX, and extends from the SKULL BASE to the inferior border of the CRICOID CARTILAGE anteriorly and to the inferior border of the C6 vertebra posteriorly. It is divided into the NASOPHARYNX; OROPHARYNX; and HYPOPHARYNX (laryngopharynx).
Introduction of a tube into a hollow organ to restore or maintain patency if obstructed. It is differentiated from CATHETERIZATION in that the insertion of a catheter is usually performed for the introducing or withdrawing of fluids from the body.
Process of administering an anesthetic through injection directly into the bloodstream.
Surgical formation of an opening into the trachea through the neck, or the opening so created.
The mucous lining of the LARYNX, consisting of various types of epithelial cells ranging from stratified squamous EPITHELIUM in the upper larynx to ciliated columnar epithelium in the rest of the larynx, mucous GOBLET CELLS, and glands containing both mucous and serous cells.
The extra volume of air that can be expired with maximum effort beyond the level reached at the end of a normal, quiet expiration. Common abbreviation is ERV.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Studies comparing two or more treatments or interventions in which the subjects or patients, upon completion of the course of one treatment, are switched to another. In the case of two treatments, A and B, half the subjects are randomly allocated to receive these in the order A, B and half to receive them in the order B, A. A criticism of this design is that effects of the first treatment may carry over into the period when the second is given. (Last, A Dictionary of Epidemiology, 2d ed)
The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T.
Traumatic injuries to the HYPOGLOSSAL NERVE.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
Difficulty and/or pain in PHONATION or speaking.
A specialty concerned with the study of anesthetics and anesthesia.
Gases or volatile liquids that vary in the rate at which they induce anesthesia; potency; the degree of circulation, respiratory, or neuromuscular depression they produce; and analgesic effects. Inhalation anesthetics have advantages over intravenous agents in that the depth of anesthesia can be changed rapidly by altering the inhaled concentration. Because of their rapid elimination, any postoperative respiratory depression is of relatively short duration. (From AMA Drug Evaluations Annual, 1994, p173)
The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.
Branches of the vagus (tenth cranial) nerve. The recurrent laryngeal nerves originate more caudally than the superior laryngeal nerves and follow different paths on the right and left sides. They carry efferents to all muscles of the larynx except the cricothyroid and carry sensory and autonomic fibers to the laryngeal, pharyngeal, tracheal, and cardiac regions.
A polyvinyl resin used extensively in the manufacture of plastics, including medical devices, tubing, and other packaging. It is also used as a rubber substitute.
Endoscopic examination, therapy or surgery of the bronchi.
Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.
The part of a human or animal body connecting the HEAD to the rest of the body.
Drugs that interrupt transmission at the skeletal neuromuscular junction by causing sustained depolarization of the motor end plate. These agents are primarily used as adjuvants in surgical anesthesia to cause skeletal muscle relaxation.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Endoscopes for the visualization of the interior of the bronchi.
Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
Application of positive pressure to the inspiratory phase when the patient has an artificial airway in place and is connected to a ventilator.
Respirators to protect individuals from breathing air contaminated with harmful dusts, fogs, fumes, mists, gases, smokes, sprays, or vapors.
A quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. It is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for.
Surgical operations on the nose and nasal cavity.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.

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.

A laryngeal mask airway (LMA), also known as laryngeal mask, is a medical device that keeps a patient's airway open during ... The laryngeal mask is still widely used today worldwide, and a variety of specialised laryngeal masks exist. It channels oxygen ... For these reasons, radiology can be used to ensure that the laryngeal mask airway is in the correct position. A laryngeal mask ... Neither presented difficulty with regard to insertion of the laryngeal mask ". By 1985, experience with the laryngeal mask ...
A laryngeal tube A laryngeal mask. Oropharyngeal airway A nasopharyngeal airway Maybauer, Marc O. (2022). Extracorporeal ... Examples of blind insertion airway devices are: Combitube EasyTube Laryngeal tube Laryngeal mask airway (a supraglottic airway ...
In 1994, he published one of the first studies on the use of the laryngeal mask airway for in-hospital resuscitation. In 2005, ... Stone BJ, Leach AB, Alexander CA (1994). "The use of the laryngeal mask airway by nurses during cardiopulmonary resuscitation. ... "The intubating laryngeal mask. Results of a multicentre trial with experience of 500 cases". Anaesthesia. 53 (12): 1174-1179. ...
... and laryngeal mask airways (LMA). Laryngeal mask airways can even be used to deliver general anesthesia. These are followed by ... Several manufacturers produce these devices, the most well known being the laryngeal mask airway (LMA). Success rates of SGAs ... The RGAs are designed as laryngeal tubes. Examples of RGAs include the Combitube and The King LT. Studies comparing the ... The SGAs consist entirely of laryngeal masks. ...
Lim SL, Tay DH, Thomas E (March 1994). "A comparison of three types of tracheal tube for use in laryngeal mask assisted blind ... Lee JJ, Lim BG, Lee MK, Kong MH, Kim KJ, Lee JY (March 2012). "Fiberoptic intubation through a laryngeal mask airway as a ... Brain AI (August 1983). "The laryngeal mask--a new concept in airway management". Br J Anaesth. 55 (8): 801-5. doi:10.1093/bja/ ... Other "noninvasive" devices which can be employed to assist in tracheal intubation are the laryngeal mask airway (Some types of ...
Cruickshanks GF, Brown S, Chitayat D (1999). "Anesthesia for Freeman-Sheldon syndrome using a laryngeal mask airway". Can J ...
Such devices include the combitube and the laryngeal mask airway. Invasive techniques such as cricothyrotomy must also be ... Since rocuronium has longer duration of onset, caution should be taken for those who are difficult to bag-mask ventilate. While ... Preoxygenation is usually performed by giving 100% oxygen via a tightly fitting face mask. Preoxygenation or a maximum of eight ... The clinician that performs RSI must be skilled in tracheal intubation and also in bag valve mask ventilation. Alternative ...
The indications and contraindications for use of the laryngeal tube are similar to those of the laryngeal mask airway and ... Wrobel, M; Grundmann, U; Wilhelm, W; Wagner, S; Larsen, R (August 2004). "[Laryngeal tube versus laryngeal mask airway in ... Comparative studies indicate that the standard laryngeal tube is generally as effective as the laryngeal mask airway, while ... Asai, T.; Kawashima, A.; Hidaka, I.; Kawachi, S. (1 November 2002). "The laryngeal tube compared with the laryngeal mask: ...
The most commonly used extraglottic device is the laryngeal mask airway (LMA). An LMA is a cuffed perilaryngeal sealer that is ... Davies PR, Tighe SQ, Greenslade GL, Evans GH (1990). "Laryngeal mask airway and tracheal tube insertion by unskilled personnel ... The most commonly used devices are laryngeal masks and supraglottic tubes, such as oropharyngeal (OPA) and nasopharyngeal ... Establishment of an advanced airway (endotracheal tube, laryngeal mask airway) allows for asynchronous ventilation, reducing ...
Nasal prongs/tubes/masks and laryngeal mask airway devices are also sometimes used. Up to 10% of infants are born requiring ... Face masks that cover the infant's mouth and nose are often used in the resuscitation procedures. ...
The laryngeal mask, LMA Classic was his 13th patent application and was granted in 1982. The LMA Classic was sold by LMA ... Joseph R. Brimacombe, Laryngeal Mask Airway: Principles and Practice, Second Edition (2005), pp. 10-11. "Teleflex to buy LMA ... Archie Brain (born 2 July 1942) is a British anaesthetist best known as the inventor of the laryngeal mask. The LMA has been ... Joseph R. Brimacombe, Laryngeal Mask Airway: Principles and Practice, Second Edition, Saunders, 2005. ISBN 0-7020-2700-6 ( ...
This is most often caused by tracheal intubation, major trauma to the larynx, or more rarely a laryngeal mask airway. This may ... "Arytenoid Cartilage Dislocation Caused by a Laryngeal Mask Airway Treated with Chemical Splinting". Anesthesia & Analgesia. 83 ... Some cases of laryngeal cancer cause the arytenoid cartilage to appear sclerotic. This may be observed, and is highly ... Muñoz, A; Ramos, A; Ferrando, J; Gómez, B; Escudero, L; Relea, F; García-Prats, D; Rodríguez, F (1 November 1993). "Laryngeal ...
"Features of new vision-incorporated third-generation video laryngeal mask airways". Journal of Clinical Monitoring and ...
... instead of to the mask. For example, it can be attached to an endotracheal tube or laryngeal mask airway. Small heat and ... Bag valve masks come in different sizes to fit infants, children, and adults. The face mask size may be independent of the bag ... attached to a face mask via a shutter valve. When the face mask is properly applied and the "bag" is squeezed, the device ... one rescuer to hold the mask to the patient's face with both hands and focus entirely on maintaining a leak-proof mask seal, ...
Advanced EMTs can also place laryngeal mask airway devices and use CPAP when needed. Some treatments and medications require ... and laryngeal mask airways. The EMT-intermediate level in Massachusetts has been phased out and replaced by the advanced EMT; ...
These includes things like a Glidescope, fiberscope optic, and an intubating Laryngeal mask airway. It is important to keep ...
In addition surfactant administration via a laryngeal mask was described for the first time in 1992. The introduction of CPAP ... treatment of RDS in spontaneously breathing premature infants with surfactant administered intratracheal thought laryngeal mask ...
"Chondrolaryngoplasty Under General Anesthesia Using a Flexible Fiberoptic Laryngoscope and Laryngeal Mask Airway". Archives of ... Wolfort, Francis G.; Parry, Richard G. (October 1975). "Laryngeal Chondroplasty for Appearance". Plastic and Reconstructive ...
An advanced airway includes: endotracheal tube supraglottic airway Laryngeal mask airway Combitube King LT Neumar, RW; Shuster ...
Alternatives to the Combitube include the laryngeal mask airway, the endotracheal tube, and the laryngeal tube. Laryngeal tube ... "The incidence of gastroesophageal reflux and tracheal aspiration detected with pH electrodes is similar with the Laryngeal Mask ... in the esophagus allows a level of protection against aspiration of gastric content similar to that found in the laryngeal mask ...
Hysteroscopic intervention can also be done under general anesthesia (endotracheal or laryngeal mask) or monitored anesthesia ...
After the introduction of the laryngeal mask airway (LMA) in 1998, supraglottic airway devices have become mainstream in both ... In other circumstances simple airway maneuvers, an oropharyngeal airway or laryngeal mask airway may be employed. If non- ... Poorly fitted masks often cause nasal bridge ulcers, a problem for some patients. Face masks are also used for non-invasive ... Face mask - In resuscitation and for minor procedures under anaesthesia, a face mask is often sufficient to achieve a seal ...
Machotta A, Hoeve H (Apr 2008). "Airway management and fiberoptic tracheal intubation via the laryngeal mask in a child with ... a review of the laryngeal complications". Eur. J. Pediatr. 156 (6): 463-4. doi:10.1007/s004310050640. PMID 9208244. S2CID ...
Kim, JE; Chang, CH; Nam, YT (2008). "Intubation through a Laryngeal Mask Airway by Fiberoptic Bronchoscope in an Infant with a ... CPAP mask), nasal BiPAP mask, simple face mask, and nasal cannula. General anesthesia is often administered without tracheal ... Other "noninvasive" devices which can be employed to assist in tracheal intubation are the laryngeal mask airway (used as a ... Theroux, MC; Kettrick, RG; Khine, H (1995). "Laryngeal mask airway and fiberoptic endoscopy in an infant with Schwartz-Jampel ...
They are administered through a face mask, laryngeal mask airway or tracheal tube connected to an anesthetic vaporiser and an ...
The laryngeal mask airway (LMA) is a tube with an inflatable cuff. A laryngeal mask airway can be positioned in the lower ... Once the mask has been placed in the correct position, the mask can be inflated. Some benefits of the laryngeal mask airway ... To insert the laryngeal mask airway into the patient, the deflated mask should be pressed against the hard palate, rotated past ... A potential problem the laryngeal mask airway poses is that over inflation will make the mask more rigid and less able to adapt ...
... masks MeSH J01.637.708.500.450 - laryngeal masks MeSH J01.637.708.520 - mouth protectors MeSH J01.637.708.600 - protective ...
... laryngeal masks MeSH E05.588.465.340 - electrophoresis, microchip MeSH E05.588.570.660 - oligonucleotide array sequence ...
... laryngeal masks, endotracheal tube) communicating with the patient when they arrive into the operating theatre establish ...
... masks MeSH E07.700.500.450 - laryngeal masks MeSH E07.700.520 - mouth protectors MeSH E07.700.600 - protective clothing MeSH ...
How To Insert a Laryngeal Mask Airway - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals ... Insert the LMA (see figure Laryngeal mask airway Laryngeal Mask Airways (LMA) If no spontaneous respiration occurs after airway ... Additional Considerations for Laryngeal Mask Airway Insertion The inflatable cuff around the rim of the mask forms a low- ... Equipment for Laryngeal Mask Airway Insertion *. Gloves, mask, gown, and eye protection (ie, universal precautions) ...
standard smooth laryngeal mask airway insertion in adults.. Kumar, Dileep; Khan, Mueenullah; Ishaq, Muhammad. J Coll Physicians ... To compare the ease of insertion between rotational laryngeal mask airway (LMA) insertion and Brains LMA insertion technique ...
Either a bag-mask device or an advanced airway may be used for oxygenation and ventilation during CPR in both the in-hospital ... If the patient is not breathing, 2 ventilations are given via the providers mouth or a bag-valve-mask (BVM). If available, a ... If the patient is not breathing, 2 ventilations are given via the providers mouth (see the image below) or a bag-valve-mask ( ... Universal precautions (ie, gloves, mask, gown) should be taken. However, CPR is delivered without such protections in the vast ...
This brings the end of the stylet into the field of vision and facilitates passage of the tracheal tube into the laryngeal ... Bullard laryngoscopy allows visualization of the larynx without requiring alignment of the pharyngeal, laryngeal, and oral axes ...
This brings the end of the stylet into the field of vision and facilitates passage of the tracheal tube into the laryngeal ... Bullard laryngoscopy allows visualization of the larynx without requiring alignment of the pharyngeal, laryngeal, and oral axes ...
Comparison of supraglottic airway device(AMBU AURAGAIN) versus intubating laryngeal mask airway(FASTRACH LMA) as mode for blind ...
Objectives: To investigate the influence on intraocular pressure (IOP) of airway management with a laryngeal mask airway (LMA) ... Intraocular pressure changes in patients undergoing cataract extraction and lens implantation: laryngeal mask airway versus ...
Laryngeal Masks J1.637.708.500.450 J1.637.708.560.782.450 Laser-Evoked Potentials G7.265.500.400.500 G7.265.216.500.400.500 ... Masks E7.662.438 J1.637.708.560.782 J1.637.708.500 Massage E2.831.535.867.880.750 Mastication G7.203.650.593.260.500 G7.203. ...
E5.200.124.100.450 Laryngeal Masks E2.585.578.475 Laser Coagulation E2.520.745.410 E4.350.750.410 Laser Scanning Cytometry ...
Laryngeal Masks J1.637.708.500.450 J1.637.708.560.782.450 Laser-Evoked Potentials G7.265.500.400.500 G7.265.216.500.400.500 ... Masks E7.662.438 J1.637.708.560.782 J1.637.708.500 Massage E2.831.535.867.880.750 Mastication G7.203.650.593.260.500 G7.203. ...
E5.200.124.100.450 Laryngeal Masks E2.585.578.475 Laser Coagulation E2.520.745.410 E4.350.750.410 Laser Scanning Cytometry ...
E5.200.124.100.450 Laryngeal Masks E2.585.578.475 Laser Coagulation E2.520.745.410 E4.350.750.410 Laser Scanning Cytometry ...
E5.200.124.100.450 Laryngeal Masks E2.585.578.475 Laser Coagulation E2.520.745.410 E4.350.750.410 Laser Scanning Cytometry ...
Laryngeal Masks J1.637.708.500.450 J1.637.708.560.782.450 Laser-Evoked Potentials G7.265.500.400.500 G7.265.216.500.400.500 ... Masks E7.662.438 J1.637.708.560.782 J1.637.708.500 Massage E2.831.535.867.880.750 Mastication G7.203.650.593.260.500 G7.203. ...
E5.200.124.100.450 Laryngeal Masks E2.585.578.475 Laser Coagulation E2.520.745.410 E4.350.750.410 Laser Scanning Cytometry ...
Laryngeal Masks J1.637.708.500.450 J1.637.708.560.782.450 Laser-Evoked Potentials G7.265.500.400.500 G7.265.216.500.400.500 ... Masks E7.662.438 J1.637.708.560.782 J1.637.708.500 Massage E2.831.535.867.880.750 Mastication G7.203.650.593.260.500 G7.203. ...
E5.200.124.100.450 Laryngeal Masks E2.585.578.475 Laser Coagulation E2.520.745.410 E4.350.750.410 Laser Scanning Cytometry ...
The surgical masks may have provided an ineffective barrier to HPV because of a poor facial fit. A comparative study by Gloster ... Hallmo and Naess reported the case study of a 44-year-old surgeons acquisition of laryngeal papillomatosis. The surgeon had ... There were no other exposure risks except for the laser treatments, during which the surgeon wore surgical masks, gloves, eye ... The four respondents who developed nasopharyngeal warts all used smoke evacuators, laser masks, and gloves, and yet it appeared ...
using masks for those who come in close contact with the patient; * using gowns if soiling is likely; and * using a private ... Patients with pulmonary or laryngeal TB are most infectious before diagnosis and treatment. Therefore, health-care providers ... Masks and protective eyewear or face shields should be worn by health-care workers to prevent exposure of mucous membranes of ... Universal precautions involve the use of protective barriers such as gloves, gowns, aprons, masks or protective eyewear, which ...
Critical Care/methods, Spinal Cord Injuries/rehabilitation, Tracheostomy, Bronchoscopy, Laryngeal Masks, Respiration, ...
Assist ventilation with a bag-valve-mask device if necessary.. Basic Decontamination Rapid skin and eye decontamination is ... Watch for signs of laryngeal edema and airway compromise. Children may be more vulnerable to corrosive agents than adults ... Administer supplemental oxygen by mask to patients who have respiratory symptoms. Treat patients who have bronchospasm with ...
Surveys conducted in April and May 2003 showed that most of the population wore a face mask (76%), washed their hands after ... and human laryngeal epithelium, which could support the growth of various viruses including influenza, parainfluenza, ...
Prediction of Masked Hypertension and Masked Uncontrolled Hypertension Using Machine Learning. Hung Ming-Hui et al. Frontiers ... Deep Convolution Neural Network for Laryngeal Cancer Classification on Contact Endoscopy-Narrow Band Imaging. Esmaeili Nazila ...
Apply a topical anesthetic (lidocaine cream 25 mg and prilocaine 25 mg or lidocaine cream to 4%) and ice mask. For dilution, ... inefficient mobility of laryngeal muscles, episodes of coughing, and bottleneck during feeding 52. ...
Usually, petechial hemorrhages cause the "fogging" phenomenon, due to hemoglobin degradation products, that masks the ... Laryngeal Manifestations of Stroke * Magnetic Resonance Imaging in Acute Stroke * Genetic and Inflammatory Mechanisms in Stroke ...
... laryngeal aspect Epiglottis (suprahyoid portion) NOS Extrinsic larynx False vocal cords Posterior (laryngeal) surface of ... Apparent coolness and detachment may mask an incapacity to express feeling. Excludes: schizophrenia (295.-) 301.3 Explosive ... laryngeal aspect (161.1) 148.3 Posterior hypopharyngeal wall 148.8 Other [see Note 3 at beginning of Chapter II] 148.9 ... laryngeal aspect (231.0) epiglottis: NOS (231.0) suprahyoid portion (231.0) skin of lip (232.0) 230.1 Esophagus 230.2 Stomach ...
  • A modified method for intubation of a patient with ankylosing spondylitis using intubating laryngeal mask airway (LMA-Fastrach)--a case report. (nih.gov)
  • Use of the intubating laryngeal mask airway in a case of ankylosing spondylitis for coronary artery bypass grafting. (nih.gov)
  • The laryngeal mask airway (LMA) is a supraglottic airway device developed by British Anesthesiologist Dr. Archi Brain. (medscape.com)
  • A type of oropharyngeal airway that provides an alternative to endotracheal intubation and standard mask anesthesia in certain patients. (nih.gov)
  • 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)
  • Bullard laryngoscopy allows visualization of the larynx without requiring alignment of the pharyngeal, laryngeal, and oral axes. (medscape.com)
  • 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)
  • 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)