Role of Laryngeal Mask Airway in Emergency Medicine

喉罩呼吸道在急症醫學的運用

王宗倫(Tzong-Luen Wang)

《中華民國急救加護醫學會雜誌》 13卷2期 (2002/06) Pp. 47-56

https://doi.org/10.30018/JECCM.200206.0001

摘要

喉罩呼吸道在1980年代已被發展出來，然而只有在最近十年，才逐漸在急症醫學中廣泛使用。這種裝置可布不需傳統插管或直視聲帶的情形下，依然可以有效維持呼吸道暢通，以及輔助性通氣的進行。美國麻醉醫學會提出的困難呼吸道處理流程中，甚至建議可使用喉罩呼吸道作為這些困難呼吸道或呼吸道維持失敗案例的合理處置。它所具有的置放容易及高成功率的特性，使它成為一項對急診醫師和到院前救護人員（包括災難救護人員）極具吸引力的利器。訓練容易以及良好的技術保留，更進一步提供了使用喉罩呼吸道的便利性。筆者複習了近百篇的相關文獻，針對喉罩呼吸道在急症醫學及災難醫學的使用，提供詳盡的討論。

關鍵字

喉罩呼吸道 ； 困難呼吸道 ； 緊急醫療救護,災難醫學

並列摘要

The laryngeal mask airway (LMA) was developed in the 1980’s,but has only been widely used in emergency medicine in the last decade . The device allows effective airway maintenance and assisted ventilation without conventional intubation or direct visualization of the vocal cords. Algorithms developed by the American Society of Anesthesiologists suggest using the LMA in patients with difficult or failed airways. It is easy to apply and has a high success rate, which makes it an attractive tool for emergency physicians and prehospital personnel (including disaster rescue teams). It is easy to train medical personnel to use a LMA and this skill is easy to retain.This article will review the literature to provide a comprehensive view for the use of the LMA in emergency and disaster medicine.

並列關鍵字

laryngeal mask airway ； difficult airway ； emergency medical service ； disaster medicine