Anesthesia mask larynx cut the bottom of the tongue

The article was professionally consulted by Specialist Doctor I Tran Thi Ngat - Department of General Surgery - Vinmec Danang International Hospital. Dr. Ngat has over 15 years of experience as an Anesthesiologist.

Laryngeal mask anesthesia is a technique of general anesthesia with a laryngeal mask placed to control breathing during surgery. This method helps to remove cysts, basal tumors of the tongue, polyps, fibroids, and granulomas of the vocal cords through direct laryngoscopy.

Indications for anesthesia with laryngeal mask to cut the fundus of the tongue in the following cases:
In case of difficult intubation. Airway and respiratory control during general anesthesia for surgery of the fundus of the tongue.

Contraindication to anesthesia with laryngeal mask for cutting the fundus of the tongue in the following cases:
General contraindications like other anesthetic surgeries The patient's stomach is full The patient has complex or infectious maxillofacial lesions No adequate equipment for anesthesia and resuscitation.

Step 1: Prepare a system of anesthesia machine with breathing, life function monitor, laryngeal mask, mask, squeeze ball, oropharyngeal cannula, suction tube, preventive means for intubation.
Step 2: Pre-anesthetic examination for the patient before anesthesia for surgery on the base of the tongue. Sedation can be used if the patient needs it. Initiate anesthesia with anesthetics, analgesia, and muscle relaxants if necessary.
Step 3: Place the patient's head in an intermediate or slightly supine position. One hand opens the patient's mouth, the other hand puts the laryngeal mask on the base of the tongue, pushes the mask into the hypopharynx, stops when encountering resistance. Then, inflate the cuff to the correct volume on the laryngeal mask.
Step 4: Check the tightness and position of the laryngeal mask and then fix it with adhesive tape.
Step 5: Maintain anesthesia with anesthetic drugs, at the same time control breathing by machine or hand squeeze, vital signs such as heart rate, blood pressure, SpO2, EtCO2, body temperature.
Step 6: Remove the mask of the larynx, then remove the mask, the patient will be awake and follow orders; Head elevation for more than 5 seconds, TOF >0.9, spontaneous breathing, respiratory rate within normal limits, pulse and blood pressure stable. There were no complications of anesthesia and surgery.

Reflux of gastric juice into airway: Need to drain the fluid, lie down with the head low, and tilt the head to the side. Simultaneously monitor and prevent lung infections. Hemodynamic disorders: Treat according to symptoms and causes. Complications due to laryngeal mask placement: It is necessary to change the mask, intubate or switch intubation. Vocal - tracheobronchial spasms: Treat by providing adequate oxygen, adding sleeping pills and muscle relaxants, ensuring ventilation. Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in medical examination and treatment, patients can rest assured to visit. and hospital treatment.