Laringeal Maske ile Zor Havayolu Yönetimi

Çocuklarda beklenmeyen zor havayolu nadir görülen bir durumdur. Özellikle anestezi yönetimi tecrübesiz kişilerce sağlandığında ve alternatif seçenekler ameliyat salonunda hazır bulundurulmadığında son derece ciddi, komplike ve katastrofik sonuçlara yol açabilir. Bu sunuda zor entübasyon öyküsü olan adenoidektomi hastasında havayolu yönetiminde laringeal maskenin bir alternatif olarak akla gelmesi gerektiğine dikkat çekmek istedik.

Anahtar Kelimeler:

Zor entübasyon, Laringeal maske

Difficult Airway Management With Laryngeal Mask

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1. Rodrigues AJ, Scordamaglio PR, Palomino AM, et al. Difficult airway intubation with flexible bronchoscope. Rev Bras Anestesiol. 2013; 63: 358–61.
2. Tong DC, Beus J, Litman RS. The Children’s Hospital of Philadelphia Difficult intubation Registry. Anesthesiology 2007;107:A1637.
3. Murat I, Constant I, Maud'huy H. Perioperative anaesthetic morbidity in children: adatabase of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth 2004; 14: 158-166.
4. Walker RW, Ellwood J. The management of difficult intubation in children. Paediatr Anaesth 2009; 19: 77-87.
5. Black AE, Flynn P, Smith HL, et al. Development of a guideline for the management of the unanticipated difficult airway in pediatric practice. Pediatr Anesth 2015; 25: 346-62.
6. Lalwani K, Richins S, Aliason I, et al. The laringeal mask airway for pediatric adenotonsillectomy: predictors of failure and complications. Int J Pediatr Otorhinolaryngol. 2013; 77: 25-8.
7. Sierpina DI, Chaudhary H, Walner DL, et al. Aronov Y.Laryngeal mask air-way versus endotracheal tube in pediatric adenotonsillectomy. Laryngoscope 2012; 122: 429-35.
8. Peng A, Dodson KM, Thacker LR, et al. Use of laryngeal mask airway in pediatric ade-notonsillectomy. Arch Otolaryngol Head Neck Surg. 2011; 137: 42-6.
9. Kretz FJ, Reimann B, Stelzner J, et al. The laryngeal mask in pediatric adenotonsillectomy. A meta-analysis of medical studies. Anaesthesist 2000; 49: 706–712.
10. Gravningsbraten R, Nicklasson B, Raeder J. Safety of laryngeal mask airway andshort-stay practice in office-based adenotonsillectomy, Acta Anaesthesiol. Scand.2009; 53: 218-222.