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Báo cáo y học: " Repair of damaged supraglottic airway devices: A novel method"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Repair of damaged supraglottic airway devices: A novel method | Singh et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 33 http www.sjtrem.eom content 18 1 33 SCANDINAVIAN JOURNAL OF Et emergency medicine LETTER TO THE EDITOR Open Access Repair of damaged supraglottic airway devices A novel method Manpreet Singh Ritu Bharti and Dheeraj Kapoor Abstract Damage of laryngeal mask airway and other supraglottic airway devices has always been a matter of concern. Although manufacturer recommends maximum 40 uses of LMA and its congeners but damage before 40 uses needs to be evaluated. We hereby describe a novel method of repair of supraglottic devices when damage occurs at mask inflation line or pilot balloon valve assembly. Introduction Various supraglottic airway devices like laryngeal mask airway LMA Proseal LMA laryngeal tube etc. are novel innovative devices for upper airway management.Laryn-geal mask airway and its variants are most often used in elective surgical procedures emergency difficult airway management and in fields or camp surgeries. The currently manufactured model is made of silicone rubber and needs special care for its longitivity 1 . The device is used multiple times as supraglottic devices are mainstay of airway management now a days. Tracking the number of uses is very essential to prevent overuse of reusable LMA airways. Continued use of LMA airways beyond 40 uses increases the probability of device malfunctions for example fractured airway tubes cuff tearing etc 2 . Even though manufacturers recommend 40 maximum uses of silicon LMA but damage of devices is not guaranteed even before 40 uses. The damages can also occur in emergency situations like cardiac arrest or in unanticipated difficult airway.Moreover the financial constrains in developing countries does not allow its discard frequently and hence LMA and its variants are used repeatedly for more than 40 uses. Biting of airway tube or LMA damage often occurs at cuff portion or airway tube shaft. The junction where airway .