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Definition des Larynxmasken-Atemwegs (LMA)

Definition of the larynx masked atmosphere (LMA)

The Larynx mask, also known as Larynx masks-Atemweg (LMA), is an important tool in anesthesia and emergency medicine, which serves to secure a patient's airways. It was developed for the first time in the 1980s and has established itself as a versatile and effective alternative to endotracheal tubes since then. The Larynx mask enables easy placement in the throat and ensures adequate ventilation of the lungs without an invasive penetration required into the trachea. This property makes it particularly useful in situations in which a quick securing of the airways is required, such as for complications during surgical interventions or in acute emergencies. In the following sections we become the definition, functionality and the indications for the use of Larynx masks Look closer.

Overview and purpose

The Larynx mask is a crucial aid to secure the airways that enables simpler placement compared to endo -tracheal intubation. It is designed to open the respiratory tract in patients and to ensure effective ventilation without the necessary invasive intubation.

The application of the Larynx mask can be found in various areas, including anesthesia, emergency services and emergency medicine. In anesthesia, it serves as a secure alternative to endotracheal intubation, while in the emergency services and in emergency medicine in critical situations it can be used quickly to reduce the risk of hypoxia.

Larynx masks are available in different sizes to meet the different needs of the patients. In addition, many of these masks are designed as disposable products, which guarantees hygienic standards and minimizes the risk of infections. The careful compliance with these standards is of the greatest importance for security and success of the respiratory security.

History of the Larynx masks

The development of the Larynx masks started in the 1980s when the British anesthetist Dr. Archie Brain the first Larynx mask designed. This innovative respiratory security method was significant progress in anesthesia, since it offered a more simpler and more effective way to establish the airway than conventional intubation methods. The Larynx mask It enables anesthetists to act quickly and avoid complications in difficult anatomical conditions.

In the emergency services, the introduction of Larynx masks also significant effects. They are quick and easy to handle, which enables quick respiratory security in emergency situations. By using Larynx masks the risk of hypoxia or other respiratory removal is minimized, especially in unconscious patients.

Overall, the development of the Larynx masks contributed significantly to the improvement of patient safety and effectiveness in anesthesia as well as in the emergency services. They represent a life -saving innovation that decisively supports specialists in critical situations.

Types of Larynx masks

Larynx masks are medical aids that are mainly used in anesthesia and emergency medicine to ensure safe airway protection. They represent an important alternative to the classic endotrache altering and offer an effective way to keep the airways open while surgical interventions. Larynx masks are available in different types, each with specific properties and applications that meet the individual needs of patients and medical staff. Due to their user -friendly handling and fast introduction, they are of great benefit, especially in the preclinical area and in emergency situations. In the following section, the common types of Larynx masks presented and their special features and areas of application explained.

Classic Larynx masks-Atemweg

The Larynx mask is a crucial aid to securing airways in anesthesia and emergency services. A central feature of the classic Larynx mask is the low pressure seal, which enables an effective seal of the airways without increasing the pressure on the surrounding tissue. This reduces the risk of injuries during intubation or Ventilation and contributes to the safety of the patient.

In emergency situations, the Larynx mask many advantages. It is easy and quick to handle, which is crucial in critical moments. The handling is designed in such a way that the risk of gastric insulation is minimized. The targeted placement in the trachea ensures that the air is led directly into the lungs and the risk of aspiration is reduced.

In summary, the classic Larynx mask A secure and practical option to secure airways. Your advantages in anesthesia and emergency services make you an indispensable instrument for medical staff that act in emergency situations.

Second generation laryngeal masks

Larynx masks The second generation represent a significant progress in respiratory security. They have improved larynx seals that offer a more reliable seal and thus reduce the risk of aspirations. Another outstanding feature is the possibility of introducing gauge -decrease hoses, which reduces the frequency of complications such as flatulence of the stomach during anesthesia.

In anesthesia and in the emergency services Larynx masks the second generation essential aids for effective ensuring the airways. They can be used quickly and easily, which is of great importance in emergency situations. Your usability compared to traditional respiratory safety devices helps to ensure that less experienced users can use them safely.

The advantages of this modern Larynx masks include a lower complication rate and improved patient safety. Since they are suitable for use in emergencies and planned anesthesia procedures, they offer a flexible solution for healthcare specialists.

Specially developed LMAs for special situations

Larynx masks (LMAS) are supraglotic respiratory devices that play an important role in emergency medicine. Specially developed LMAs for special situations enable an uncomplicated introduction and are designed for specific clinical scenarios. This includes, for example, models that facilitate the introduction of an endotrache tubus or a gauge compression probe.

These special designs offer the advantage that you ensure rapid and effective respiratory protection, even under difficult conditions. The gel filled cuff adapts flexibly to the anatomy of the airways, which minimizes the risk of injuries and improves tightness.

In emergency situations, a quick and safe Ventilation be decisive. Therefore, these are optimized Larynx masks A valuable addition to the repertoire of emergency medicine, as they offer both security and efficiency when dealing with respiratory complications. Due to their adaptability and practicality, they are indispensable in modern medical emergency care.

1. Definition

The Larynx mask is a medical device that Ventilation is used and is particularly important in emergency medicine and anesthesia procedures. It serves to cover the larynx and ensure effective sealing, which enables safe airway protection.

The function of the Larynx mask is based on the fact that it is gently inserted into the throat and lays over the larynx. This prevents air from escaping from the lungs and thus enables a controlled Ventilation of the patient.

In critical situations in which fast and reliable respiratory protection is required, the Larynx mask A simple and effective solution to intubative procedures. Your simple handling and quick applicability make you an indispensable tool in emergency medicine and anesthesia.

2. Structure

The Larynx mask consists of an oval to drop -shaped silicone body that is flexible and adaptable. An essential feature of this mask is the inflatable cuff that around the neck of the Larynx mask is arranged. This Cuff ensures that the region is effectively sealed around and behind the larynx, which offers important aspiration protection.

The flexible pipe with the 15 mm standard connector enables easy connection to ventilation units or bags, which ensures efficient air supply. The Larynx mask is particularly useful in situations in which rapid and safe respiratory protection is required because it is a less invasive alternative to intubated measures. The silicone body and the inflatable Cuff help to keep the mask stable and to control the air flow, which is of crucial importance for the patient.

3. Indications

The Larynx mask is an important tool for securing the airways, especially in two main scenarios: in elective interventions and in emergency situations. In the case of planned operations, it offers a reliable way to protect the airways if an endotracheal intubation is necessary, but is not possible or not displayed.

In emergency situations, such as apnea or with difficult access to the airways due to facial deformations, the Larynx mask represent a life -saving alternative. It enables an effective one Ventilation, Even if an endotracheal intubation fails due to anatomical or situational restrictions.

Particularly noteworthy is the intubation larynx mask (ILMA), which plays an important role in difficult intubation conditions. The ILMA offers an improved view of the vocal cords and makes it easier to lay an endotracheal tube when conventional methods fail. So it is Larynx mask An essential instrument for anesthetist to ensure the airways safely.

4. Clinical application

The Larynx mask is an important aid to securing airways in anesthesia and emergency services. It is used to ensure adequate ventilation in patients who cannot breathe independently. Especially in emergency situations in which time is crucial, the Larynx mask Advantages because it can be introduced quickly and easily without the necessary tracheal intubation.

The optimal patient storage is essential for the success of the Larynx masks-Application. If the cervical spine injuries are suspected, the patient should be carefully brought into a neutral position in order to avoid additional damage. Correct storage enables a better view and facilitates the placement of the Larynx mask.

In emergency services, the Larynx mask Particularly valuable, since it can also be used in emergency use under difficult conditions. Thanks to its user -friendliness and effectiveness, it proves itself as a crucial device for airway protection in critical situations.

5. procedure

The application of the Larynx mask takes place in several steps to secure the airways during anesthesia. First the Larynx mask Carefully inserted into the patient's mouth and positioned so that it is put over the larynx. This happens without the need for a laryngoscopic representation of the larynx, which simplifies the process considerably and enables stress -free access to airway protection.

After the larynx mask is correctly positioned, the cuff of the mask is inflated. By inflating the Cuff, the airways are closely closed, so that a safe one is Ventilation the patient is guaranteed. This method protects the larynx apparatus because no direct traumatic manipulations are carried out on the larynx.

The Larynx mask thus offers an effective and minimally invasive alternative to conventional intubation, especially in situations in which a quick and easy backup of the airways is necessary.

6. Contraindications

The application of a Larynx mask is widespread in emergency medicine, but certain contraindications must be observed that are divided into absolute and relative contraindications.

Absolute contraindications:

1. Restricted or missing mouth opening

2. Insurable respiratory nobbing constructions

These contraindications indicate that the placement of a Larynx mask is not safe or possible in such cases, since it can affect respiratory handling.

Relative contraindications:

1. Closeness

2. Existing stranglexes

3. increased regulatory risk

With these relative contraindications, the use of a Larynx mask be dangerous because it may affect the patient's security and could increase the risk of aspiration or other complications. In such cases, careful consideration and, if necessary, an alternative airway management strategy should be considered.

Indications for creating the Larynx mask

The Larynx mask is an effective tool in anesthesia, especially in situations in which endotracheal intubation is not possible. One of the most common indications is apnea or severe respiratory insufficiency, where a quick securing of the airways is required.

In elective anesthesia cases, the Larynx mask Several advantages: it is easier to introduce and causes less trauma than intubation. This is particularly advantageous in patients with difficult anatomical circumstances, such as with increased risk of intubation failure or with existing anomalies of the air path.

Another crucial point is the use of the Larynx maskIf the Ventilation is difficult with the bag valve mask. In such situations the Larynx mask help an effective Ventilation to ensure and avoid complications. In summary, it can be said that the Larynx mask A varied and safe instrument for respiratory protection.

Complications when using a Larynx mask

The application of Larynx masks can be associated with various complications. Common problems are vomiting and aspiration that can occur if the patient has inadequate vigilance or has a hypersensitivity. Tongue edema can also occur, especially if the Larynx mask is inserted too deep or the patient suffers from an existing swelling. Dental injuries are also possible, especially in patients with unkempt teeth or a poorly fitting mask.

The contraindications for the application include both absolute and relative factors. The application is absolutely contraindicated in the event of uncontrolled respiratory disease, heavy facial trauma or anomalies of the oral cavity. Relative contraindications can be obesity, pregnancy or existing gastroesophageal reflux disease, for example.

The risk of increased regurgitation can decide to use a Larynx mask influence, similar to the need for high pressure ventilation. In such cases, alternatives must be considered to ensure the patient's safety.

Equipment for the application of the Larynx mask

For the application of the Larynx mask Certain equipment is required to secure the airways. General precautions include gloves to minimize the risk of infection, as well as a mask and a smock to protect the staff. Eye protection is also important to protect yourself from fluid splashes.

Specific equipment includes a 30- to 60 ml syringe with which the Larynx mask to ensure an optimal seal. A bag valve apparatus is also necessary to ensure effective ventilation of the patient in an emergency.

The importance of these equipment lies in the guarantee of a safe and effective implementation of the respiratory protection. In emergency situations, it must be traded quickly and precisely to secure the patient's airways and ensure adequate oxygen supply. In anesthesia there is one Larynx mask A crucial option to avoid complications during anesthesia.

Further considerations for the application of a Larynx mask

The Larynx mask is an important tool in anesthesia and emergency medicine, especially in low pressure ventilation. It enables effective ventilation by creating a seal between the larynx and the surrounding area, which minimizes the risk of gastric insulation. Optimal sealing is crucial to avoid unwanted air in the stomach, which can lead to complications.

There are both absolute and relative contraindications for the use of a Larynx mask. Absolute contraindications include severe face and neck injuries as well as a well-known obstruction of the airways. Relative contraindications include patients with an increased risk of aspiration, such as those with gastroesophageal reflux or overweight.

It is important to take into account the stranger reflex, since stimulation of this reflex the insertion of the Larynx mask can make it difficult or even prevent. The risk of aspiration must also be observed, as an inadequate seal can lead to serious complications. Therefore, a careful assessment of the patients and the circumstances is necessary before one Larynx mask is used.

Relevant anatomy for the application of the Larynx mask

The Larynx mask is an important aid to secure airway and requires a fundamental understanding of the relevant anatomy. When used, the patient's ear should be aligned with the notch on the Sternum to ensure an optimal opening of the upper airways. This positioning promotes a straight setting of the neck, which is crucial for effective placement of the Larynx mask is.

The degree of headlighting varies significantly depending on the patient group. In children and obese patients, stronger apologies are often required to take into account the anatomical conditions. Obese patients often have a shortened neck region, which can hinder the view of the airways and increases the risk of respiratory complications.

These anatomical aspects are crucial because they directly influence the view of the airways and the chances of success of an endotracheal intubation. A correct handling of the Larynx mask can therefore improve the statistical success rate when securing the airways.

Storage when using a Larynx mask

The optimal patient position for the application of a Larynx mask is the sniffing position. This position enables better respiratory openness by inclining the head slightly backwards and raising the chin. This moves the tongue back away from the throat, which is particularly important to avoid obstructive breathing blockade.

With suspected cervical spine injuries, special caution should be advised. It is important to keep the spine stable and not to make unnecessary movements. In such cases, the use of an anatomically shaped Larynx mask be advantageous, since it usually enables simpler and safer application without excessive stress.

The correct patient storage remains crucial in order to optimally Ventilation to ensure. Overall, the sniffing position contributes to ensuring respiratory openness and minimizes risks, especially in patients with potential cervical spine injuries.

Step-by-step description of the introduction of a Larynx mask

The introduction of a Larynx mask takes place in several steps to ensure effective respiratory protection.

1. Selection of size: Choose the appropriate size of the Larynx mask Based on the patient's body weight.

2. Check the cuff: Check the cuff for leaks by pumping it out and paying attention to a safe stop.

3. placement: Lean the patient's head slightly backwards and lead it Larynx mask gently into the Oropharynx. Make sure that the mask completely surrounds the Larynx.

4. Pump up the cuff: Pump the cuff according to the manufacturer instructions to ensure a stable seat and effective sealing.

5. Ventilation: Make sure the airways are clear and start with the Ventilation. Monitor the thoracic survey and capnography to confirm the correct placement.

These steps are crucial for successful airway protection with the Larynx mask And should be carried out with care.

Warnings and frequent mistakes when using the Larynx mask

When using the Larynx mask (LMA) Some important warnings and frequent mistakes to be observed. First of all, it is crucial to the patient while using the Larynx mask and the Ventilation Keep calm to ensure correct placement. Incorrect positioning can lead to inadequate sealing, which in turn increases the risk of gastric insulation. In addition, the skat printing should be carefully adjusted to achieve an optimal seal without damaging the tissue.

It is important to emphasize that the Larynx mask does not offer a complete aspiration restriction, which is why additional precautionary measures may be necessary. In patients with unstable cervical spine injuries, anatomically shaped Larynx mask to use it safely because you represent a suitable solution in such cases. Therefore, patient positioning should also be taken into account in order to avoid complications during the application.

Tips and tricks when using a Larynx mask

The Larynx mask is an important tool in anesthesia and emergency medicine that ensures effective respiratory protection. It offers an alternative to endotracheal intubation and can be used in various clinical scenarios, especially in patients with difficult airways or as part of a rapid emergency supply. To the effectiveness and security when using a Larynx mask Maximizing certain tips and tricks are important. These help to ensure the correct placement of the mask, to minimize complications and to optimize respiratory superiority in critical situations. In the following, some proven practices are presented that can be helpful for both experienced users and newcomers.

In what sizes are there Larynx masks?

Larynx masks are available in different sizes to meet the different anatomical conditions of patients. These sizes typically range from size 1 for newborns to size 5 for adults. Each size is specially designed to ensure an optimal fit and a secure seat in the Larynx area.

The choice of the right size is crucial, especially in medical and rescue situations. A false size can lead to inadequate ventilation or even injuries. For newborns, for example, a smallest size is essential to ensure that the Larynx mask Sits correctly and does not cause any respiratory complications. Larger sizes are necessary for adults to take into account the anatomical conditions of the adult body.

Overall, the correct selection of the Larynx mask of great importance to safe and effective Ventilation to ensure and optimize patient care.

Are Larynx masks Disposable?

Larynx masks are usually intended for single use. This practice serves to ensure hygiene and minimize the risk of infection, especially in critical situations. In emergency medicine, where quick measures are required, Larynx masks A valuable help with the Ventilation represent by difficult to intubable patients.

The masks are packaged sterile and are available in different sizes to ensure optimal adaptation to different patients. The transmission of diseases and contamination during medical interventions is greatly reduced by its disposable nature.

The use of Larynx masks is a crucial aspect in emergency medicine, since they can be used quickly and effectively to add sufficient oxygen and thus ensure the survival of patients. Therefore, compliance with hygiene standards when using Larynx masks essential.

 

Source: iStockphoto Jeniffer Fontan

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