Geplante Entfernung der Kehlkopfmaske im Aufwachraum

Abstract

Planned PLMA removal in the recovery room after BIS-guided balanced anesthesia did not enable the anesthetist to be available earlier for induction of anesthesia in the following patient. Hence the anesthetist could not contribute to a faster turnover of cases. Obviously, with the type of close communication between surgeon and anesthetist dictated by the study protocol (announcement of expected end of surgery by the surgeon 20 min before end of surgery) it is possible for the patient to regain consciousness within a very small time window following the end of surgery. Following this kind of protocol, postponement of removal of the LMA in the recovery room does not seem to be attractive neither from a clinical nor an economic point of view. In contrast, removal of LMA in the recovery room should be restricted to occasional cases with an abrupt end of the operation or prolonged emergence from anesthesia. The obvious risk of hypoxemia necessitates continuous O(2) application and S(p)O(2) monitoring during transport to the recovery room.

Spring recoil and supraglottic airway devices: lessons from the law of conservation of energy

“…If we use SADs to improve the quality of our anaesthetic practice, in the idea of a faster surgical turnover [19], reduced drug consumption and administration [20], lower dental potential damage [21,22], better postoperative pulmonary function [23], lower hemodynamic impact [24], we then need to adapt our practice to this new anaesthetic approach and start to consider SADs intracuff pressure monitoring as mandatory.…”