대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)

  • 제12권4호
  • /
  • Pages.235-241
  • /
  • 2012
  • /
  • 1598-4044(pISSN)
  • /
  • 2383-7039(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지

Sevoflurane 흡입진정에서 어려운 기도관리를 위한 LMA 활용

Use of Laryngeal Mask Airway in Sevoflurane Sedation for the Difficult Airway

  • 유태민 (단국대학교 치과대학 부속치과병원 치과마취과) ;
  • 도레미 (단국대학교 치과대학 부속치과병원 치과마취과) ;
  • 송영균 (단국대학교 치과대학 부속치과병원 치과마취과) ;
  • 김승오 (단국대학교 치과대학 부속치과병원 통합진료과)
  • You, Tae-Min (Department of Anesthesilogy, Dental Hospital, Dankook University) ;
  • Doh, Re-Mee (Department of Anesthesilogy, Dental Hospital, Dankook University) ;
  • Song, Young-Gyun (Department of Anesthesilogy, Dental Hospital, Dankook University) ;
  • Kim, Seung-Oh (Department of Advanced General Dentistry, Dental Hospital, Dankook University)
  • 투고 : 2012.12.24
  • 심사 : 2012.12.28
  • 발행 : 2012.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Although sevoflurane sedation have the advantage of the reduction of anxiety and pain relief, difficult airway is attributed to increased agitation, tachycardia, desaturation, ventilation difficulty, sedation failure. In the sedation for dental treatment, we should pay more attention to the airway management because dental procedures take place in the mouth of airway unlike any other area. The layngeal mask airway (LMA) has become commonly used device for airway management during anesthesia for relatively short procedures, such as minor oral surgery and dental procedures. It can be inserted without use of a larygoscope and muscle relexants, and insertion is easy to achieve and generally takes less time than endotracheal intubation. The LMA is an excellent barrier against aspiration of saliva, blood within the surgical field but should not be used in patients at risk of aspiration In this study, we reported that after a failure of airway management in inhalation sedation, we performed the short-emergency dental treatment successfully, using a laryngeal mask.

키워드

참고문헌

  1. Senel AC, Altintas NY, Senel FC, Pampu A, Tosun E, Ungor C, et al: Evaluation of sedation in oral and maxillofacial surgery in ambulatory patients: failure and complications. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114(5): 592-6. https://doi.org/10.1016/j.oooo.2012.03.008
  2. Senel FC, Buchanan JM Jr, Senel AC, Obeid G: Evaluation of sedation failure in the outpatient oral and maxillofacial surgery clinic. J Oral Maxillofac Surg 2007; 65(4): 645-50. https://doi.org/10.1016/j.joms.2006.06.252
  3. Braidy HF, Singh P, Ziccardi VB: Safety of deep sedation in an urban oral and maxillofacial surgery training program. J Oral Maxillofac Surg 2011; 69(8): 2112-9. https://doi.org/10.1016/j.joms.2011.04.017
  4. Sanuki T, Sugioka S, Son H, Uda R, Akatsuka M, Kotani J: Effects of head-neck extension on abnormality of laryngeal mask airway function resulting from opening the mouth. J Oral Maxillofac Surg 2011; 69(5): 1311-5. Epub 2011 Jan 21. https://doi.org/10.1016/j.joms.2010.07.061
  5. Bennett J, Petito A, Zandsberg S: Use of the laryngeal mask airway in oral and maxillofacial surgery. J Oral Maxillofac Surg 1996; 54(11): 1346-51. https://doi.org/10.1016/S0278-2391(96)90496-6
  6. Brimacombe J, Berry A: The laryngeal mask airway for dental surgery--a review. Aust Dent J 1995; 40(1): 10-4. https://doi.org/10.1111/j.1834-7819.1995.tb05605.x
  7. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, et al: A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 1985; 32(4): 429-34. https://doi.org/10.1007/BF03011357
  8. American Society of Anesthesiologists Task Force on Management of the Difficult Airway; Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003; 98(5): 1269-77. https://doi.org/10.1097/00000542-200305000-00032
  9. 대한치과마취과학회 역: 진정법-환자 관리 지침서-. 대한나래 출판사. 2011. pp 564-7.
  10. Brain AI: The laryngeal mask--a new concept in airway management. Br J Anaesth. 1983 Aug;55(8):801-5. https://doi.org/10.1093/bja/55.8.801
  11. Wat LI: The laryngeal mask airway for oral and maxillofacial surgery. Int Anesthesiol Clin. 2003; 41(3): 29-56. https://doi.org/10.1097/00004311-200341030-00005
  12. Yu SH, Beirne OR: Laryngeal mask airways have a lower risk of airway complications compared with endotracheal intubation: a systematic review. J Oral Maxillofac Surg. 2010; 68(10): 2359-76. Epub 2010 Jul 31. Review. https://doi.org/10.1016/j.joms.2010.04.017
  13. Todd DW: A comparison of endotracheal intubation and use of the laryngeal mask airway for ambulatory oral surgery patients. Oral Maxillofac Surg. 2002 Jan;60(1):2-4 https://doi.org/10.1053/joms.2002.29047
  14. Young TM: The Laryngeal Mask in dental anaesthesia. Eur J Anaesthesiol Suppl 1991;4:53-9.
  15. Alexander CA: A modified Intavent laryngeal mask for ENT and dental anaesthesia. Anaesthesia. 1990; 45(10): 892-3.
  16. Sanuki T, Sugioka S, Hirokane M, Son H, Uda R, Akatsuka M, et al: Optimal degree of mouth opening for laryngeal mask airway function during oral surgery. J Oral Maxillofac Surg 2011; 69(4): 1018-22. Epub 2010 Aug 19. https://doi.org/10.1016/j.joms.2010.03.015
  17. Sanuki T, Sugioka S, Hirokane M, Son H, Uda R, Akatsuka M, et al: The influence of mouth opening on oropharyngeal leak pressure, intracuff pressure, and cuff position with the laryngeal mask airway. J Oral Maxillofac Surg 2010; 68(5): 1038-42. https://doi.org/10.1016/j.joms.2009.12.029
  18. Rollert MK: The case against the laryngeal mask airway for anesthesia in oral and maxillofacial surgery. J Oral Maxillofac Surg 2004; 62(6): 739-41. https://doi.org/10.1016/j.joms.2004.02.003