Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Aug 2005
[Use of the laryngeal mask airway at german university and university-affiliated hospitals -- results of a nationwide survey].
The aim of this study was to collect comprehensive data on the use of the laryngeal mask airway (LMA) under general anaesthesia at German university and university-affiliated hospitals. ⋯ The role of the LMA in routine anaesthesia practice has clearly increased. Controversial aspects of use are reflected in the practice patterns of LMA use in different departments. The LMA has not been disseminated widely in the areas of ear, nose and throat-, maxillofacial- and eye surgery.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Aug 2005
Case Reports[Severe ARDS following perioperative aspiration of gastric content associated with the use of a "ProSeal" laryngeal mask airway].
A ProSeal laryngeal mask airway was used for anaesthesia for laparoscopic surgery in a 26 y old male patient with acute appendicitis. Perioperative aspiration of gastric contents resulted in severe ARDS. Invasive therapeutic options including ECMO had to be used to obtain full recovery. ⋯ Further risk factors were a long period of fasting, untimely removal of the mask before the patient regained full consciousness, the late confirmation of the diagnosis and the hesitant initial therapy. Since PLMA provides a higher airway occlusion pressure compared to the classic laryngeal mask airway (CLMA), the use of this device may be justified for elective laparoscopic surgery. In emergency patients with increased risk of regurgitation endotracheal intubation still remains the gold standard.