Otutu ngwa nke ụzọ ikuku mkpuchi laryngeal

Emepụtara ihe mkpuchi laryngeal nke ọma ma jiri ya mee ihe n'ụlọ ọgwụ n'etiti 1980 wee weba ya na China na 1990s.Enweela ọganihu dị ukwuu na iji mkpuchi laryngeal na ngwa ya na-aghọwanye ebe niile.

Nke mbụ, ojiji nke mkpuchi mkpuchi laryngeal n'ọhịa eze.N'adịghị ka ọtụtụ ịwa ahụ ahụike, usoro eze na-emetụtakarị n'ụzọ ikuku.Na North America, ihe dị ka 60% nke ndị dọkịta na-ahụ maka anesthesiologists anaghị etinye aka mgbe niile, nke na-akọwapụta nke ọma ọdịiche dị na omume (Young AS, 2018).Nlekọta ụgbọ elu bụ isiokwu na-adọrọ mmasị n'ihi na nkwụsị nke ikuku ikuku na-ejikọta ya na GA nwere ike iduga nnukwu nsogbu ikuku (Divatia JV, 2005).Ọchịchọ Jordan Prince (2021) mezuru nyocha nke nchekwa data eletrọnịkị na akwụkwọ isi awọ.E mechara kwubie na iji LMA na dentistry nwere ike ibelata ihe ize ndụ nke hypoxia mgbe ịwachara ahụ.

Nke abuo, ojiji nke laryngeal mkpuchi ikuku ventilashion na ịwa ahụ a ga-eme na tracheal stenosis nke elu ka akọọrọ na usoro ikpe.Celik A (2021) nyochara ndekọ nke ndị ọrịa 21 bụ ndị mere tracheal ịwa ahụ site na iji ikuku ikuku LMA n'etiti Machị 2016 na Mee 2020 ka a tụlere azụ azụ.E mechara kwubie na ịwa ahụ tracheal na-enyere LMA aka bụ usoro enwere ike iji ya mee ihe n'enweghị nsogbu dị ka usoro ọkọlọtọ n'ịwa ahụ nke ọrịa na-adịghị mma na nke na-adịghị mma nke ma elu na elu ikuku nke a na-eme n'ahụ ndị ọrịa ụmụaka, ndị na-arịa tracheostomy, na ndị ọrịa kwesịrị ekwesị. tracheoesophageal fistula.

Nke atọ, eji LMA eme ihe n'ahịrị nke abụọ na njikwa nke ụzọ ikuku obstetric.Ụzọ ikuku nke ime nwa bụ nnukwu ihe na-ebute ọrịa na-anwụ anwụ nke nne (McKeen DM, 2011).A na-ewere intubation endotracheal dị ka ọkọlọtọ nlekọta mana ụzọ ụgbọ elu laryngeal mask (LMA) enwetala nnabata dị ka ụzọ ụgbọ elu nnapụta ma tinye ya n'ime ntuziaka nlekọta ụgbọ elu obstetric.Wei Yu Yao (2019) jiri LMA Kasị Elu (SLMA) tụnyere endotracheal intubation (ETT) na ijikwa ụzọ ikuku ebe ime n'oge ngalaba cesarean wee chọpụta na LMA nwere ike ịbụ usoro nlekọta ụgbọ elu ọzọ maka ọnụ ọgụgụ ụmụ nwa nwere obere ihe ize ndụ ahọpụtara nke ọma, nwere ụdị nke ahụ. ọnụego ihe ịga nke ọma ntinye, belata oge ikuku na obere mgbanwe hemodynamic ma e jiri ya tụnyere ETT.

Ntụaka
[1] Young AS, Fischer MW, Lang NS, Cooke MR.Mepụta ụkpụrụ nke ndị dọkịta na-ahụ maka ọgwụ anesthesiologists na North America.Aneth Prog.2018;65 (1):9–15 .doi: 10.2344/anpr-64-04-11.
[2]Prince J, Goertzen C, Zanjir M, Wong M, Azarpazhooh A. Nsogbu ụgbọ elu dị na Intubated Versus Laryngeal Mask Airway-ejisiri Dentistry: A Meta-Analysis.Aneth Prog.2021 Dec 1;68 (4): 193-205 .doi: 10.2344/anpr-68-04-02.PMID: 34911069;PMCID: PMC8674849.
[3]Celik A, Sayan M, Kankoc A, Tombul I, Kurul IC, Tastepe AI.Ojiji dị iche iche nke Laryngeal Mask Airway n'oge ịwa ahụ tracheal.Thorac Cardiovasc Surg.2021 Dec; 69 (8): 764-768 .doi: 10.1055/s-0041-1724103.Epub 2021 Ma 19. PMID: 33742428.
[4] Rahman K, Jenkins JG.Intubation tracheal dara ada na obstetrics: ọ naghị adịkarị mana ọ ka na-ejikwa nke ọma.Anaesthesia.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.Ntụle nke elu laryngeal mask airway megide endotracheal intubation maka njikwa ụgbọ elu n'oge anesthesia izugbe maka ngalaba cesarean: nnwale a na-achịkwaghị nke ọma.BMC Anesthesiol.2019 Julaị 8;19 (1):123.doi: 10.1186/s12871-019-0792-9.PMID: 31286883;PMCID: PMC6615212.