This is an automatically translated article.
The article was professionally consulted by Specialist Doctor I Nguyen Duc Thong - Anesthesiologist - General Surgery Department - Vinmec Danang International Hospital. The doctor has 14 years of experience in the field of Anesthesia.Laryngeal mask anesthesia is a general anesthetic technique with a laryngeal mask placed for the purpose of breathing control during surgery to remove gingivitis.
1. Indications and contraindications for laryngeal mask anesthesia to cut gingival tumor
Gum disease or hypertrophy is a phenomenon that causes swelling, increases in the size of the gums and becomes enlarged with pus pockets, bad breath, pain... The disease causes problems with mechanical obstruction and causing discomfort while eating, cosmetic defects. Therefore, it is necessary to specify the gingival tumor removal. One of the methods that can be used to cut gingival tumors is laryngeal mask anesthesia.Indications for anesthesia with laryngeal mask to cut gingival tumor in the following cases:
In case of difficult intubation Temporary respiratory control in emergency Contraindications to anesthesia mask laryngotracheal tumor removal in the following cases: the following case:
The patient has a full stomach Injury to the face and face with complicated manifestations Medical facilities do not have enough equipment and facilities for anesthesia and resuscitation.
Không gây mê mask thanh quản cắt u lợi hàm khi bệnh nhân có biểu hiện dạ dày đầy
2. Steps to carry out anesthesia with laryngeal mask to cut gingival tumor
Step 1: Prepare a system of anesthesia machine with breathing, hand-held oxygen source, life function monitor, defibrillator, suction machine... Laryngeal masks of various sizes, suction tubes, masks and masks Prophylactic means of endotracheal intubation.Step 2: Examine and evaluate the patient before surgery, place the patient in supine position, breathe oxygen at least 5 minutes before induction of anesthesia.
Step 3: Install the monitor and set up the line and then anesthetize according to the procedure.
Step 4: Place the patient's head in a slightly supine position and then place the index finger at the junction between the laryngeal mask and the tube. Open the patient's mouth and then put the laryngeal mask through the dental arches into the base of the tongue to enter the hypopharynx. Then inflate the cuff to the correct volume and secure with adhesive tape.
Step 5: Maintain anesthesia with anesthetic and control breathing with a machine or squeeze the patient's hand and conduct surgery to remove enlarged gums.
Step 6: Remove the laryngeal mask when the patient is awake, following orders, breathing evenly, pulse and blood pressure are stable.
Tiến hành gây mê mask thanh quản cắt u lợi hàm
3. Management of complications after anesthesia mask laryngeal resection of gingival tumor
Reflux of gastric juice into the airway requires aspiration. Insert an endotracheal tube and aspirate the airway. Prevention of lung infections Hemodynamic disorders: Management according to symptoms and causes. Vocal-tracheal-bronchospasm: Provide oxygen, ensure ventilation, apply difficult endotracheal intubation when ventilation is not possible. Injuries when wearing a laryngeal mask: Treatment depends on the damage. Fold, slip off the laryngeal mask, open the respiratory system, run out of oxygen: It is necessary to ensure ventilation and oxygen supply and then find the cause for treatment. Complications after removing the laryngeal mask (respiratory failure, sore throat, respiratory infection...): Treatment depends on symptoms and causes. Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in medical examination and treatment, patients can rest assured to visit. and hospital treatment.Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
