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1.
Rev. esp. anestesiol. reanim ; 63(10): 599-603, dic. 2016. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-157980

RESUMO

La intubación traqueal ha sido considerada históricamente la técnica ideal en el manejo de la vía aérea en procedimientos quirúrgicos laparoscópicos. La introducción de este tipo intervenciones en los circuitos de cirugía mayor ambulatoria exige el empleo de técnicas anestésicas que ofrezcan una recuperación postoperatoria óptima y un alta precoz bajo unas condiciones de seguridad estrictas. La mascarilla laríngea se plantea como opción adecuada a la intubación traqueal, incluso en pacientes de mayor riesgo gracias a los nuevos modelos con modificaciones orientadas a mejorar sus características, lo que las convierten en dispositivos de gran proyección dentro del manejo total de la vía aérea. Presentamos el primer caso de funduplicatura de Nissen laparoscópica realizado con mascarilla laríngea Baska Mask® en un paciente con riesgo alto de regurgitación por reflujo gastroesofágico (AU)


Tracheal intubation has historically been considered the ideal technique to handle the airway in laparoscopic surgical procedures. The introduction of such procedures in ambulatory surgery requires the use of anesthetic techniques that offer optimal and early postoperative recovery under strict security conditions. Laryngeal mask is proposed as a suitable alternative to tracheal intubation, even in high risk patients due to new devices which have been modified to improve their characteristics, becoming great alternatives in the overall management of the airway. We report the first case of laparoscopic Nissen fundoplication performed with a laryngeal Baska Mask in patient with high risk of regurgitation due to its gastroesophageal reflux (AU)


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Máscaras Laríngeas/tendências , Máscaras Laríngeas , Fundoplicatura/instrumentação , Fundoplicatura/métodos , Fundoplicatura , Laparoscopia/métodos , Laparoscopia , Asma/complicações , Propofol/uso terapêutico , Intubação Intratraqueal/instrumentação , Intubação Intratraqueal/métodos , Refluxo Laringofaríngeo/tratamento farmacológico , Refluxo Laringofaríngeo/prevenção & controle , Fentanila/uso terapêutico
2.
Rev Esp Anestesiol Reanim ; 63(10): 599-603, 2016 Dec.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-27208897

RESUMO

Tracheal intubation has historically been considered the ideal technique to handle the airway in laparoscopic surgical procedures. The introduction of such procedures in ambulatory surgery requires the use of anesthetic techniques that offer optimal and early postoperative recovery under strict security conditions. Laryngeal mask is proposed as a suitable alternative to tracheal intubation, even in high risk patients due to new devices which have been modified to improve their characteristics, becoming great alternatives in the overall management of the airway. We report the first case of laparoscopic Nissen fundoplication performed with a laryngeal Baska Mask in patient with high risk of regurgitation due to its gastroesophageal reflux.


Assuntos
Fundoplicatura , Intubação Intratraqueal , Máscaras Laríngeas , Refluxo Gastroesofágico , Humanos , Laparoscopia
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