reinforced lmas for paediatric tonsillectomy增強小兒扁桃體切除術昆布多糖硫酸酯-文庫吧
2024-12-28 07:38 本頁面
【正文】 postop ? Postop consultantled ward round ? Nurseled discharge 6hrs postop Theoretical advantages of LMA ? Avoids neuromuscular blockade ? Minimises pharyngeal amp。 laryngeal trauma ? No endobronchial/oesophageal intubation ? Less airway soiling ? Avoids extubation risks – Deep – Awake – Airway protection until awake Evidence ? Canadian paeds study (1993) ? English adult amp。 paeds study (1993) ? Metaanalysis (1996) UK practice ? Clarke et al, BJA 99 (3): 4258 (2022) Airway management 3yrs 316 Adult ETT 87% 79% 73% Reusable LMA 1 Singleuse LMA 1 2 7 Reusable flexi LMA 6 9 6 Single use flexi LMA 6 9 8 Ninewells? ? Prospective survey of LMA use ? 3 critical stages:
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