RESUMEN
Desde la introducción de la mascarilla laríngea, su uso se ha expandido especialmente en el contexto de la cirugía ambulatoria. La mascarilla laríngea representa el patrón oro de los dispositivos supraglóticos, y es la referencia con la que los nuevos dispositivos deben ser comparados. La presente revisión es una actualización de las principales indicaciones de la mascarilla laríngea en usos avanzados, incluyendo el abordaje de la vía aérea difícil en el paciente intervenido de forma ambulatoria. Así mismo se incluye una revisión de las indicaciones, aportaciones, y ventajas de la mascarilla laríngea Supreme aplicadas al contexto de la cirugía sin ingreso (AU)
Since the introduction of the original laryngeal mask airway(LMA) in the nineties in our country, its use has expanded especially in the context of outpatient surgery. The LMA remains the gold standard of the supraglotic devices and the standard by which all other devices should be compared. This review is an update of the main indications of the LMA in advanced applications, including addressing the difficult airway in the patient operated on an outpatient basis. Also includes a review of the information, contributions, and advantages of the LMA supreme applied to the context of day surgery (AU)
Asunto(s)
Humanos , Máscaras Laríngeas , Anestesia/métodos , Procedimientos Quirúrgicos Ambulatorios/métodos , Anestesia Endotraqueal/instrumentaciónAsunto(s)
Reflujo Gastroesofágico , Complicaciones Intraoperatorias/etiología , Intubación Gastrointestinal/instrumentación , Máscaras Laríngeas , Neumonía por Aspiración/prevención & control , Adulto , Diseño de Equipo , Reflujo Gastroesofágico/etiología , Hipo/complicaciones , Humanos , Complicaciones Intraoperatorias/prevención & control , MasculinoRESUMEN
Our experience with laryngeal airway mask in 241 children is reported: 168 adenoidectomies, 47 adenotonsillectomies and 26 tonsillectomies. In every case the device was easy to insert and blood did not enter the upper airway. The technical facility was similar to that of orotracheal intubation surgery. The laryngeal mask was effective for safe airway control, constituting a laryngotracheal barrier against blood, secretions and other fluids and avoiding the irritation of the intraluminal cuff in orotracheal intubation. It requires less deep anesthesia and insertion can be carried out without neuromuscular blockade. Induction and perioperative time are reduced, patient recovery is expedited, and recovery is more comfortable than with other anesthetic techniques. Anesthesiological resultant parameters were within the range of safety. Otherwise, the presence of the laryngeal mask, with its hypopharyngeal cuff, presented no relevant complications for visual and instrumental access to the surgical field. This allows the surgeon to completely eliminate adenotonsillary tissue and to perform effective hemostasis.