Department of Anesthesia, Perioperative Medicine and Pain Therapy, Sacro Cuore Catholic University, A. Gemelli University Hospital, Rome, Italy -
Department of Anesthesia, Resuscitation and Postoperative Intensive Care, Ospedali dei Colli, Naples, Italy.
Minerva Anestesiol. 2017 Nov;83(11):1199-1206. doi: 10.23736/S0375-9393.17.11930-9. Epub 2017 Jun 12.
Laryngeal mask (LM) and inhaled anesthesia combination is often deemed unsuitable. Actually the evolution of surgical procedures towards minimal invasiveness, the search of improved productivity, and the contemporary need for patient safety and faster recovery, push the anesthetists to get interested in their use in the daily practice. An Expert Panel composed by anesthetists coming from university and tertiary hospitals undertook to write an experts' opinion on the correct management of LM and desflurane in adult patients, with a view to issuing a simple operative protocol for their combined intraoperative usage. Main operative steps have been defined, which, if appropriately implemented, would successfully achieve safety objectives. Two aspects are considered crucial, first the educational role of Universities and Medical Schools to structure a systematic approach to the theoretical and practical teaching of the use of LM with desflurane; second an appropriate training for improving the skills in the use of LM also for more complicated patients.
喉罩（LM）和吸入麻醉的联合应用通常被认为是不合适的。实际上，手术程序向微创化的发展、提高生产力的需求以及对患者安全和更快恢复的当代需求，促使麻醉师对它们在日常实践中的应用产生了兴趣。一个由来自大学和三级医院的麻醉师组成的专家小组着手撰写关于成人患者中正确管理 LM 和地氟醚的专家意见，以期为联合术中使用制定一个简单的操作方案。已经定义了主要的操作步骤，如果正确实施，将成功实现安全目标。有两个方面被认为是至关重要的，首先是大学和医学院的教育作用，以构建一个系统的方法来进行使用 LM 和地氟醚的理论和实践教学；其次是适当的培训，以提高使用 LM 的技能，即使是对更复杂的患者。
