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Progress in Medical World part 6

Air channel management Laryngeal airway represents a major advance in airway management. The tools used for management is installed in the hypopharynx, and "cuff bloat" that is placed around the glottis. The final part laryngeal airways are webbed together with a standard endotracheal tube and can be used to provide anesthetic gases for both spontaneous or controlled ventilation. In Britain, the appliance is installed in the endotracheal tube for airway management in approximately 50 percent of patients who undergo surgery, especially those in ambulatory units. Use of laryngeal membrane eliminates the need for laryngoscope and tracheal intubation. The tool can be used for neonatal resustitasi without intubation and can also be used to keep the airways fixed without the need for venting membrane.
In the United States, the lining of the laryngeal airway device is used as a helper in airway management and endotracheal tube was not replaced. The main short-term outcome of these tools is that these tools do not protect the respiratory tract from aspiration of gastric contents in patients who have "reflukx gastric" so it is not suitable for patients who undergo emergency surgery, to those who have a "hiatal hernia symptomatik" or peptic ulcer disease , or those who are overweight or pregnant. In patients who experience reductions in lung function, ventilation control is difficult dgg laryngeal airway lining due to the increased air pressure that can cause air tore the "cuff" and cause gastric stencilled.

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