More about the LMA..

7 04 2008

Answering a question from the comments section…

Why do they use the laryngeal mask in your case? We seldom use it, in all those years we used it for one patient who had an exceptional large beard which made the ventilation troublesome.
Regards Dr Shock

I’m not totally sure what the issue is. I know for my first treatment, they ran out of any other kind of mouth guards-as I understand it, the one that’s normally used looks a little like the trays they use to get impressions of your teeth when you’re at the dentist.

But I was told that kind doesn’t work for me when they tried it during the second treatment. Maybe I have a small airway?

I’m sort of just guessing at this part of the treatments, actually. I usually don’t remember to ask for specifics about that part.


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7 04 2008
Dr Shock

I am sorry but let me explain. During the procedure after the anesthesia you will also receive succinylcholine (“sux”). This paralysis your muscles, your muscles that help you breath as well. They will supply oxygen during the procedure by placing a mask attached to a balloon to ventilate with 100% oxygen. It is important to keep the oxygen saturation in the blood high since during the seizure your brains delivers a lot of energy witch needs oxygen. Applying the mask will continue until stimulation. The mask is than replaced by a mouth guard to protect your teeth. A LMA is seldom used for ventilation.
I hope things are more clear now, take care Dr Shock

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