Anesthesia through the mask

The article is expertly consulted by an Anesthesiologist, anesthesiologist, anesthesiologist - Department of General Surgery & Anesthesia - Vinmec Hai Phong International General Hospital.
Masked anesthesia is the main method used in young children. Because this is the subject that is often indicated to perform minor surgery, the time is short and causes little pain.

1. What is mask anesthesia?

Anesthesia is a method of introducing anesthetic drugs into the body to temporarily lose consciousness, sensations and reflexes.
Anesthesia through a mask is to connect a mask (mask) with an anesthetic machine to bring anesthetic into the body through the nose and mouth. In particular, the patient can breathe on his own during anesthesia.

2. Indication of anesthesia through a mask

General anesthesia in infants and young children, in surgical cases where there is little need for analgesia and muscle relaxation. Combined with regional anesthesia such as sacral anesthesia, nerve anesthesia in children. Applicable for short-term surgery, in peripheral location.
Trẻ sơ sinh bị nghẹt mũi
Gây mê qua mặt nạ áp dụng cho gây mê toàn thân ở trẻ sơ sinh và trẻ nhỏ

3. Contraindications for mask anesthesia

Stomach bloating Cases that cannot control breathing. Surgery on internal organs requires a lot of muscle relaxation and pain relief.

4. Mask anesthesia procedure

The procedure of anesthesia through a mask is performed through the following steps:
Ensure a clear upper airway by placing the patient in supine position, neck flexed, lower jaw angle pushed forward, with anti-tongue guard. Spontaneous breathing disease: When the anesthetic mask is placed over the nose and mouth, there are no abnormal signs in the reserve balloon. No abnormal breathing was heard. Place the stethoscope on the precordial region and the esophagus does not hear the sound or snoring of airway obstruction. Mask artificial respiration : Give artificial respiration with positive pressure, avoiding the stomach becoming bloated. Ensure airway ventilation, do not let the tongue drop; Respiratory pressure below 20cmH2O to reduce the risk of stroke. In patients with difficulty keeping the anesthetic mask closed, a rubber band can be used to secure the head to the mask. Avoid low-concentration mask anesthesia because it is easy to irritate the respiratory tract. Deep anesthesia as required by surgery. All halogenated anesthetics must be used through a dedicated vaporizer. Anesthesia can be used: thiopental, ketamine, halogen, short-acting central analgesics, combination of anesthetics with inhalation anesthetics. Dosage for mask anesthesia depends on the weight and requirements of the surgery.
gây mê hồi sức
Quy trình gây mê qua mặt nạ được thực hiện qua nhiều bước

5. Monitoring and handling of accidents

Laryngeal spasm may occur if anesthesia is given through a shallow mask. In mild cases, wheezing, stridor is heard, in severe cases, respiratory reversal occurs, unable to continue breathing with an anesthetic mask. If not treated promptly, it will cause hypoxia, mixed acidosis, leading to hypotension, bradycardia, cardiac arrest. Therefore, it is important to get the patient to sleep deeply and to manage the contraction. Obstruction of airways due to posture: It is necessary to adjust the patient's position, clear the airway, if necessary, intubate an endotracheal tube. Respiratory depression: Use assisted and artificial respiration to restore the patient's respiratory capacity. Anesthesia through a mask is connecting a mask (mask) with an anesthetic machine to deliver anesthetic into the body through the nose and mouth. Mostly, this anesthetic procedure is applied to small children, minor surgeries. However, in order to minimize complications, patients need to choose a reputable medical facility or hospital to perform.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space.

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Bài viết này được viết cho người đọc tại Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.

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