Keeping a Patent Airway with Laryngeal Mask Airway for a Difficult Airway after Tracheal Extubation-A Case Report

喉頭罩自1981年發明以來，經過不斷的改良及臨床醫師的廣泛使用，已經在麻醉領域中佔有一席之地。尤其是對於困難插管或通氣困難的病人，用來維持吸道的暢通，佔著重要角色。本篇報告一案例在氣管內管全身麻醉誘導時，發生困難插管，經過三次嘗試後，終於完成插管。但是在手術結束拔管後，病人發生上呼吸道阻塞，而使用喉頭罩克服困難。

關鍵字

設備；喉頭罩

並列摘要

The laryngeal mask airway (LMA) has been gaining a firm position through numerous modification and practice since it was invented by Dr Brain in 1981. The LMA is easy to use and provides an adequate airway, in both adults and children, in a wide variety of clinical situations. There are numerous reports of successful use of the LMA after failed tracheal intubation which support a potential role for the LMA in patients with difficult airways. Although there has some controversies about its use under certain circumstances. Nervertheless, it is an alternative way to relieve difficult airway. We presented a case who suffered difficult intubation during anesthesia induction and was intubated successfully after three attempts. At the end of surgery, the patient suffered from airway obstruction immediately after endotracheal tube extubation and was resolved by placement of laryngeal mask airway.

並列關鍵字

Equipment ； Laryngeal mask airway

國際替代計量

Keeping a Patent Airway with Laryngeal Mask Airway for a Difficult Airway after Tracheal Extubation-A Case Report

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