A laryngeal mask airway, also known as a laryngeal mask, is a medical device that keeps a patient airway open during anaesthesia or while they are unconscious, and it is a type of supraglottic airway device. It is most commonly used by anaesthetists to channel oxygen or inhalational anaesthetic to the lungs during surgery, and in the pre-hospital setting by paramedics and emergency medical technicians for unconscious patients. A laryngeal mask is composed of an airway tube connected to an elliptical mask with a cuff, which is inserted through the patient mouth and down the windpipe and, once deployed, forms an airtight seal on top of the glottis, allowing a secure airway to be managed by a health care provider. It was invented by British anaesthesiologist Archibald Brain in the early 1980s, and the first commercial laryngeal mask was made available in the United Kingdom in December 1987; it remains widely used today worldwide, and a variety of specialised laryngeal masks now exist.
Facts
FAQs
What did a meta-analysis find when it compared the laryngeal mask airway with endotracheal intubation?
A 16-trial meta-analysis in children found fewer complications with the laryngeal mask airway than with endotracheal intubation on several measures, and no significant difference on others.
A published meta-analysis of 16 randomized controlled trials compared the laryngeal mask airway with endotracheal intubation during general anesthesia. The trials enrolled pediatric patients (children), so the findings come from that population only and should not be assumed to apply to adults. The authors report that the laryngeal mask group had significantly lower heart rate variability, a lower incidence of hypoxemia and a lower incidence of postoperative cough than the endotracheal intubation group, and a significantly higher success rate of one-time placement. They found no significant differences between the two groups in bronchospasm, sore throat, mucosal injury, nausea and vomiting, or reflux aspiration. They concluded that laryngeal mask airway use can reduce complications during general anesthesia compared with endotracheal intubation in children. This reports one analysis of a limited set of trials and is not medical advice.
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
Laryngeal mask airway (Wikipedia)
https://en.wikipedia.org/wiki/Laryngeal_mask_airway, lead sectionQuote, https://en.wikipedia.org/wiki/Laryngeal_mask_airway, lead section
A laryngeal mask airway (LMA), also known as laryngeal mask, is a medical device that keeps a patient's airway open during anaesthesia or while they are unconscious.
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