Die Larynxmaske – Schritt für Schritt

Dembinski, Rolf; Scholtyschik, Daniel

doi:10.1055/a-0947-3446

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…В последние десятилетия в мире широкое распространение получило применение ларингеальных масок (надгортанных воздуховодов) как альтернативы для интубации трахеи. Впервые описанная британским анестезиологом Арчибальдом Брейном в 1983 г., ларингеальная маска быстро достигла популярности во всем мире [28]. Уже в 1992 г. в Великобритании 59% всех общих анестезий было проведено с помощью этого надгортанного воздуховода [29].…”

Section: общая анестезияunclassified

“…Встречаются такие осложнения, как травма слизистой оболочки ротовой полости, гематома в месте установки маски, в редких случаях -вывих черпаловидных хрящей, паралич язычых и возвратных гортанных нервов. Установка ларингеальной маски также нежелательна больным, которые находятся в недостаточно глубокой седации [28].…”

Section: общая анестезияunclassified

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Choice of Anesthesia for Orthopedic Surgery in Elderly and Senile Patients (Review)

Lisichenko

Gusarov

2022

Obŝaâ reanimatologiâ

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Management of elderly and senile patients is a major challenge due to signiﬁcant comorbidity, especially in surgery under general anesthesia.The aim of the review was to identify the optimal method of anesthesia for knee arthroplasty in elderly patients based on the available clinical and experimental studies.We searched PubMed, Medline, and Elibrary.ru databases for relevant sources. Out of more than 300 publications initially analyzed, 113 literature sources (dating from 1951 to 2021) were included in the review, of which 80 were published within the last ﬁve years (2016–2021). The inclusion criteria were high informative value and relevance, except for sources cited as historical references. Both randomized multicenter studies and individual case reports were included in the review. Exclusion criteria were low informative value, outdated and repetitive data.We reviewed the physiology of elderly and senile patients, various variants of anesthesia, the use of neuroaxial anesthesia and peripheral regional blocks, xenon-based general anesthesia, assessed the advantages and drawbacks of each method, and discussed the monitoring of the depth of anesthesia and the issues of inraoperative awareness during knee arthroplasty in elderly and senile patients.Conclusion. The choice of anesthesia for knee arthroplasty in elderly and senile patients should be based on the risks of decompensation of cardiovascular comorbidities and cognitive impairment. No known anesthetic method is ideal in terms of safety. The use of xenon as the main anesthetic seems promising due to its cardio- and neuroprotective properties. However, its use is limited due to relatively high cost. Therefore, the search for optimal (lower than recommended) inhalation concentrations may lead to expanding use of xenon in elderly and senile patients. At the same time, the use of lower concentrations of the drug is associated with the intraoperative awakening and the need for its combination with narcotic analgesics or amnestic agents, which may not be optimal. In addition, the protective eﬀect of xenon retrograde amnesia against the stress of unintended intraoperative awakening has not been studied, and routine methods of monitoring the depth of hypnosis when using xenon often yield skewed measurement results inconsistent with the clinical manifestations of anesthesia.Therefore, there is a need for further studies concerning the retrograde amnesic eﬀect of xenon and search for optimal methods of assessing the depth of hypnosis when using this gas to safely reduce its inhalation concentration.

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Section: общая анестезияunclassified

Choice of Anesthesia for Orthopedic Surgery in Elderly and Senile Patients (Review)

Lisichenko

Gusarov

2022

Obŝaâ reanimatologiâ

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“…A ML é contraindicada em pacientes com abertura limitada da boca, anormalidade patológica nas vias aéreas e com risco aumentado para broncoaspiração, o que inclui a presença de reflexo faríngeo, uma vez que o dispositivo não tem proteção confiável contra esse evento adverso (13,14) .…”

Section: Introductionunclassified

Inserção da máscara laríngea por enfermeiros: revisão integrativa da literatura

Silva

Pires

Silveira

et al. 2022

Rev. Eletr. Enferm.

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Objetivo: Identificar as evidências científicas da literatura sobre a inserção de máscara laríngea por enfermeiros. Método: Revisão integrativa de literatura, realizada em novembro de 2020, cuja busca ocorreu nas bases de dados Cumulattive Index to Nursing and Allied Health Literature, Cochrane, Excerpta Médica Database, Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine National Institutes Database Search of Health e Web of Science por meio do programa Rayyan para seleção dos estudos. Resultados: Identificaram-se 1.156 estudos, do quais oito atenderam aos critérios de inclusão. Os estudos foram categorizados em dispositivos de primeira e segunda geração. Conclusão: Conclui-se que o uso de máscara laríngea de primeira e segunda geração por enfermeiros é uma alternativa recomendada por sua rapidez, sucesso e eficácia em garantir a via aérea avançada, em especial, em situações de parada cardiorrespiratória em adultos, porém, recomenda-se verificar os efeitos adversos de seu uso.

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Die Larynxmaske – Schritt für Schritt

Cited by 2 publications

References 3 publications

Choice of Anesthesia for Orthopedic Surgery in Elderly and Senile Patients (Review)

Choice of Anesthesia for Orthopedic Surgery in Elderly and Senile Patients (Review)

Inserção da máscara laríngea por enfermeiros: revisão integrativa da literatura

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