Anesthesiology and Perioperative Medicine, Complejo Hospitalario Universitario de A Coruña, Galicia, Spain.
Anesthesiology and Perioperative Medicine, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
Expert Rev Med Devices. 2022 Nov;19(11):847-858. doi: 10.1080/17434440.2022.2142558. Epub 2022 Nov 8.
Video laryngeal masks have become alternatives to classical supraglottic airway devices in recent years. This review provides information on the background of these new medical devices, the most popular and widely used video laryngeal masks, their advantages, disadvantages and their main applications in airway management.
In this review, the physical differences between video laryngeal masks and second-generation laryngeal mask airways, and their properties in specific clinical settings are discussed.
To limit airway-related morbidity, an optimal position of supraglottic airway devices must be the primary goal. Extensive research has shown that blindly inserted laryngeal mask can be malpositioned in 50% to 80% of the cases. Therefore, blind insertion should be the exception rather than the rule unlike current practice. Video laryngeal mask airways have clear advantages in routine use and in difficult airway management since they allow a vision-guided technique. Henceforth, the properties perceived in clinical practice must be endorsed with quality clinical evidence.
近年来，视频喉镜已成为经典的声门上气道装置的替代品。本文综述了这些新型医疗器械的背景、最受欢迎和广泛使用的视频喉镜、它们的优缺点及其在气道管理中的主要应用。
在这篇综述中，讨论了视频喉镜与第二代喉罩气道之间的物理差异，以及它们在特定临床环境中的特性。
为了降低与气道相关的发病率，最佳的声门上气道装置位置必须是首要目标。大量研究表明，盲插喉罩在 50%至 80%的情况下可能会出现错位。因此，盲插应是例外情况，而不是像目前的做法那样成为常规。视频喉镜在常规使用和困难气道管理方面具有明显的优势，因为它们允许进行可视化引导技术。因此，在临床实践中感知到的特性必须得到高质量的临床证据的支持。
