Keyword
Ix & CIx of LMA
Indication
- Intubation 실패한 경우
- No increased risk of regurgitation
- Fasted patients
- Difficult mask fit (beards, edentulous)
- Need for free hand
- Short (<1 hour duration ), elective procedures
- ASA physical status 1 or 2 patients
- Spontaneously breathing patients
- Patients in the supine position, or
- Lithotomy position without Trendelenburg for brief procedures (<30 minute duration)
Contraindication
- Phryngeal pathology 이상 ( abscess 등)
- Phryngeal obstruction
- Full stomach (pregnancy, hiatal hernia등)
- Low pul. compliance
- PIP > 30cmH2O이상 요구되는 수술
- Extremely morbidly obese patients
Reference
Morgan and Mikhail's Clinical Anesthesiology, 5th edition, Ch.19, P.317-318
http://emedicine.medscape.com/article/82527