Monem Abdul, Khan Fauzia A
Department of Anaesthesiology Aga Khan University, Karachi.
J Pak Med Assoc. 2007 Dec;57(12):607-11.
Laryngeal Mask Airway has gained wide acceptance for routine airway management, difficult airway and in emergency situations. The classical method of insertion was recommended by Dr Brain. Over the years various induction and insertion techniques have been described with variable results. Combination of induction agents with narcotics, with or without small dose muscle relaxants has been found to be very effective. There is less also lesser incidence of mucosal trauma with partially inflated cuff. Insertion with cuff facing laterally or backwards and rotating it forwards into position has also been described. A review of various options and their advantages and limitations is presented.
喉罩气道已在常规气道管理、困难气道及紧急情况下得到广泛应用。经典的插入方法由布雷恩博士推荐。多年来，人们描述了各种诱导和插入技术，结果各不相同。已发现诱导剂与麻醉剂联合使用，无论是否使用小剂量肌肉松弛剂都非常有效。部分充气的袖带导致黏膜损伤的发生率也较低。也有人描述了将袖带侧向或向后放置并向前旋转至合适位置的插入方法。本文对各种选择及其优缺点进行了综述。
