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- W2074565839 abstract "The safety of anaesthesia for gynaecological laparoscopy probably depends largely on short operative time, close intraoperative monitoring and the experience of both anaesthetist and surgeon. However, there is debate over the most suitable mode of ventilation and form of airway management. It is argued that hypoventilation and the risk of regurgitation make intubation and ventilation mandatory, and yet spontaneous ventilation with a facemask appears to be a safe technique with reduced minor morbidity. The laryngeal mask airway (LMA) has added a new dimension to the debate since it offers potential advantages over both the tracheal tube and the facemask. The aim of this review is to analyse the physiological and clinical evidence supporting the mode of ventilation and airway management during gynaecological laparoscopy and to discuss these issues in the context of the LMA. We conclude that the physiological and clinical data available to determine the suitability of the LMA is inadequate. Further proof is required before widespread adoption of these techniques. It is possible that advances in LMA design may extend the suitability of the LMA for gynaecological laparoscopy." @default.
- W2074565839 created "2016-06-24" @default.
- W2074565839 creator A5054929162 @default.
- W2074565839 creator A5063276368 @default.
- W2074565839 date "1995-06-01" @default.
- W2074565839 modified "2023-09-27" @default.
- W2074565839 title "Airway management during gynaecological laparoscopy ? is it safe to use the laryngeal mask airway?" @default.
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- W2074565839 doi "https://doi.org/10.1016/0966-6532(95)00010-p" @default.
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