Mechanical ventilation with laryngeal mask in anesthesia. Personal experience
D'Apote, A.L.
Minerva Anestesiologica 61(7-8): 313-318
1995
ISSN/ISBN: 0375-9393 PMID: 8948743 Document Number: 452717
The aim of the study was to evaluate the following: the difficulty of inserting a laryngeal mask without the use of muscle relaxants and laryngoscopy; the incidence of possible intraoperative cardiocirculatory and respiratory alterations during the association of laryngeal mask and mechanical ventilation; local intra and postoperative complications due to their combined use. Open, non-random study. Provincial hospital. PATIENTS EXAMINED: 118 patients of both sexes, of various ages, and from a number of surgical fields. General anaesthesia performed using mechanical ventilation and laryngeal mask. There was no difficulty in positioning the laryngeal mask without muscle relaxants and laryngoscopy; no alterations were observed in the hemodynamic and respiratory parameters monitored; intra and postoperative local complications were frequently present in a high percentage of cases, consisting respectively in increased mucopharyngeal secretion and pharyngeal irritation and dysarthria. Whereas the former did not represent a serious clinical problem, the latter proved more troublesome for patients following surgery.