• 대한후두음성언어의학회지
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• 제19권1호
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• pp.54-57
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• 2008

Non-visualization of larynx is one of the reasons for failure of vocal fold surgery. Many otorhinolaryngologists may have a trouble in choice of alternative treatment if they experience this situation. The laryngeal mask airway could be alternative approach for this situation. We report a glottal papillomatous patient who was treated by pulsed dye laser via laryngeal mask airway after failure of vocal fold surgery via endotracheal intubation. The patient was a 73-year-old man. Laryngoscopy revealed a severe diffuse papillomatous lesion on right true vocal cord, anterior commissure, and partial left true vocal cord. The patient was refered for difficult laryngeal exposure during laryngomicrosurgey under general endotracheal anesthesia.

• Tuberculosis and Respiratory Diseases
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• 제44권6호
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• pp.1433-1439
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• 1997

소아에서 기관지내 이물은 드물지 않게 접하는 질환이 나 본 예의 환자의 경우와 같이 소아에서 후두 마스크를 사용하여 기관절개술(tracheostomy)을 회피하고 기관지 이물을 제거한 경험예는 현재까지 아직 발표된 바 없고, 아직까지도 마취과의사를 제외한 다른 진료분야의 의사들에게는 후두 마스크가 널리 알려져 있지 않기에 저자들은 후두 마스크를 사용하여 굴곡성 기관지경으로 기관지 이물을 성공적으로 제거한 1례를 문헌고찰과 함께 보고하는 바이다.

• 대한후두음성언어의학회지
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• 제25권2호
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• pp.96-98
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• 2014

Injection laryngoplasty is simple and useful procedure in patient with vocal cord paralysis even under local anesthesia. For approaching vocal cord level, flexibility of neck mobility is required to operate injection laryngoplasty but it is relatively difficult to approach vocal cord in patient who has cervical fixations. Laryngeal mask airway (LMA) can be helpful:We use a LMA (I-gel$^{TM}$) during intubation without neck extension on flat supine position under general anesthesia and have a good operation filed. LMA with swivel connector give surgeons better surgical vision and make insertion of fibroscope easily during operation. Hyaluronic acid injection was done use needle (25 G, 5 cm) via percutaneous cricothyroid space : This procedure can be useful method for patients who suffer from not only weak voice but also dysphagia and aspiration high vagal palsy patient after spine surgery or uncooperative with awake injection laryngoplasty.

• 한국화재소방학회논문지
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• 제28권6호
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• pp.76-81
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• 2014

이 연구는 RespiTrainer를 활용한 백밸브마스크 환기에서 1인 백밸브마스크, 2인 백밸브마스크, 전문기도삽관 별 호흡량과 기도압을 비교 분석하였다. 실험기간은 2014년 6월 2일부터 6월 10일까지이며, 수집된 자료는 SPSS 18.0을 이용하여 분석하였다. 그 결과 기관내삽관을 통한 환기 $497{\pm}78mL$, 2인 BVM 환기 $479{\pm}91mL$를 보였고, 1인 BVM 환기와 킹후두관기도기, 후두마스크 환기에서 각각 $386{\pm}59mL$, $365{\pm}05mL$, $351{\pm}35mL$를 보였다. 기도압에서도 기관내삽관을 통한 BVM 환기에서 가장 높은 기도압(11.67 cm $H_2O$)을 보였다. 결과적으로 기관내삽관을 통한 BVM 환기와 2인 BVM 환기에서 1/3 백 압착법은 적절하였다.

• 대한흉부심장혈관외과학회:학술대회논문집
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• 대한흉부외과학회 1998년도 제30차 추계학술대회 대한흉부외과학회
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• pp.32-32
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• 1998

• 한국화재소방학회논문지
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• 제29권5호
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• pp.104-109
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• 2015

이 연구는 RespiTrainer를 활용한 옥시레이터 EM-100 환기에서 기관내삽관, 킹후두관기도기, 아이-겔, 마스크를 통한 호흡량과 기도압을 비교 분석하였다. 실험기간은 2015년 7월 20일부터 7월 21일까지이며, 수집된 자료는 SPSS 18.0을 이용하여 분석하였다. 연구결과 기관내삽관이 537 ml (95% CI 530~545 ml), 킹후두관기도기 502 ml (95% CI 499~506 ml), 아이-겔 488 ml (95% CI 485~491 ml), 산소마스크 499 ml (95% CI 496~503 ml)의 환기량을 보였다. 기도압력은 기관내삽관이 $11.34cmH_2O$ (95% CI $11.21{\sim}11.41cmH_2O$), 킹후두관기도기 $10.67cmH_2O$ (95% CI $10.60{\sim}10.75cmH_2O$), 아이-겔 $10.42cmH_2O$ (95% CI $10.35{\sim}10.67cmH_2O$), 산소마스크 $10.61cmH_2O$ (95% CI $10.55{\sim}10.68cmH_2O$)로 측정되었다. 결과적으로 옥시레이터 EM-100을 이용한 인공호흡으로 적절한 호흡량이 전달되는 것을 확인할 수 있었다.

• 디지털융복합연구
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• 제14권12호
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• pp.369-375
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• 2016

본 연구는 환자의 경추보호대 착용 여부에 따른 후두마스크기도기(LMA)와 I-gel, Streamlined Liner of the Pharynx Airway(SLIPA) 등 3가지 성문위기구의 삽관 용이성을 비교하기 위해 시행되었다. 응급의료현장에서 활동 중인 119 구급대원 39명에게 3가지 성문위기구에 대한 짧은 교육을 시행한 후 삽관시간과 삽관시도횟수를 측정하였다. 삽관시간은 중립위와 경추보호대 착용 시 모두 I-gel($10.5{\pm}2.2$, $11.4{\pm}5.7$), SLIPA($12.3 {\pm}5.1$, $12.0{\pm}6.8$), LMA($17.2{\pm}3.2$, $18.5{\pm}5.5$) 순으로 빨랐다 (p<0.05). 각 기도기별 중립위와 경추보호대 착용 시 삽관시간의 차이는 없었다. 결론적으로 I-gel과 SLIPA가 LMA보다 중립위와 경추보호대 착용 시 모두에서 삽관시간이 더 빠른 결과를 보였다.

• 한국응급구조학회지
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• 제16권2호
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• pp.75-89
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• 2012

Purpose : This research was designed to provide basic data for advanced pre-hospital airway management by comparing the time to ventilation and success rate for tracheal intubation performed with Macintosh laryngoscope and intubating Laryngeal Mask Airway(ILMA) in a manikin. Methods : All participants were novice users among EMT-Paramedic students and were divided into two groups: (1) the group for Macintosh laryngoscope guided tracheal intubation(MLG-TI) (2) the group for ILMA guided tracheal intubation(ILMA-TI). After an introductory lecture and demonstration, each group made an attempt ten tracheal intubation to compare the ventilation time and success rate for tracheal intubation. Results : 1) There was significant difference in the time to ventilation through MLG-TI, the time to first and second ventilation through ILMA-TI of the 10 attempts. 2) The time to first ventilation through ILMA-TI was significantly shorter than that of ventilation through MLG-TI. 3) There was no significant difference between the time to ventilation through MLG-TI and the time to second ventilation through ILMA-TI. 4) The success rates of ILMA-TI were significantly higher than those of MLG-TI. Conclusion : ILMA-TI can be an alternative method for MLG-TI in advanced pre-hospital airway management.

• 한국응급구조학회지
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• 제16권3호
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• pp.19-28
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• 2012

Purpose : The present study was designed to provide basic data for advanced pre-hospital airway management by comparing the insertion time and success rate between laryngeal tube suction II (LTS II) and laryngeal mask airway (LMA) in a manikin. Methods : A total of 32 participants were novice users to both of devices among paramedic students. After taking the introductory lecture and demonstrations, the participants made an attempt to insert the LTS II and LMA to compare the insertion time and success rate. They marked the easiness of insertion of the score ranged from 1 to 10 score scale and preference of the two devices. Results : The insertion time of the LTS II was significantly shorter than that of the LMA (p =.000). There was no significant difference between LTS II and LMA in the success rate. In the easiness of insertion, the score of LTS II $(8.47{\pm}1.41score)$ was significantly higher than that of LMA $(7.19{\pm}1.98score)$(p =.001). The preference of LTS II (75%) was much higher than that of LMA (25%). Conclusion : The manikin study data showed that the LTS II may be a good alternative airway device for providing and maintaining a patent airway.

• Journal of Yeungnam Medical Science
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• 제21권1호
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• pp.127-131
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• 2004

A laryngeal mask airway (LMA) has many advantages in the management of airway emergencies or the treatment of patients in whom intubation is difficult, but the use of LMA during positive ventilation may seem inappropriate to protect the airway because of the risk of pulmonary aspiration of regurgitated gastric contents. We experienced aspiration pneumonia after general anesthesia using LMA in patient who suffered from panperitonitis. It is considered that the main reason for aspiration pneumonia was a leakage of gastric content through the space surrounding the nasogastric tube while under high airway inflation pressure. We concluded that when LMA or the Proseal laryngeal mask airway (PLMA) is chosen for the use in difficult intubations, careful patient-suitability selection and the correct knowledge of LMA and PLMA are needed to protect the airway against aspiration.