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Survey of Elective Laryngeal Mask Airway Use in the Presence of Gastroesophageal Reflux Disease

机译:胃食管反流病患者使用选择性喉罩呼吸道的调查

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Concern exists about the potential risks of pulmonary aspiration with the laryngeal mask airway (LMA) due to its inability to provide a tight seal at the larynx. The safety of LMA use in the presence of gastroesophageal reflux disease (GERD) is unclear, as GERD is presumed to increase the risk of aspiration under anesthesia. VA Anesthesiologists were surveyed regarding their practices in the setting of mild, moderately severe and severe symptoms of GERD. Approximately half responded that they would use a standard LMA in a patient with GERD as long as symptoms are mild. Nineteen percent would not use the LMA in any patient with a history of GERD.
机译:由于喉罩无法在喉部提供紧密的密封,因此存在喉罩呼吸道(LMA)引起肺部抽吸的潜在风险。尚存在胃食管反流病(GERD)的情况下使用LMA的安全性尚不清楚,因为推测GERD会增加麻醉下误吸的风险。对VA麻醉师进行了有关在GERD出现轻度,中度严重和严重症状时的做法的调查。大约一半的人回答说,只要症状轻微,他们将在GERD患者中使用标准LMA。在有GERD病史的任何患者中,有19%的人不会使用LMA。

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