Chapter

Airway and ventilation in day case anaesthesia

Jan Jakobsson

in Anaesthesia for Day Case Surgery

Published on behalf of Oxford University Press

Published in print May 2012 | ISBN: 9780199652969
Published online October 2012 | e-ISBN: 9780191742972 | DOI: http://dx.doi.org/10.1093/med/9780199652969.003.0007

Series: Oxford Anaesthesia Library

Airway and ventilation in day case anaesthesia

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• Day surgery, in general, covers elective non-major surgery, thus spontaneous breathing and minimally invasive/traumatic airways should be considered. • The laryngeal mask airway (LMA) or disposable alternatives should be considered in most cases of elective day surgical anaesthesia where no obvious contraindications are seen. The LMA is a safe and feasible alternative both to an ordinary facemask and to intubation in cases when the risk for regurgitation and aspiration is minor. Supra-glottic airways, such as ProSeal LMA, appear to provide effective ventilation during laparoscopy also, although their ability to protect against aspiration is still unclear. • Spontaneous breathing is the preferred ventilation in uncomplicated day surgical anaesthesia; respiratory depression from large doses of opioids and the use of muscle relaxants should be avoided. • Controlled mechanical ventilation should be used when deemed necessary; ventilator settings should be done in accordance to normal in-hospital practice. • Intubation should always be readily available as a plan for failed intubation.

Chapter.  3004 words.  Illustrated.

Subjects: Anaesthetics ; Operating Department Practice

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