[Laryngeal masks in emergency medicine].
Airway control and maintenance of effective assisted ventilation are an absolute priority in emergency medicine. Developed by Brain in 1988, the laryngeal mask offers a new means of ventilation management and is a reliable compromise between the face mask and endotracheal tubing. The laryngeal mask ensures no protection against gastric contents inhalation and its use is limited in patients with decreased thoracopulmonary compliance. However, compared to the face mask, the laryngeal mask offers several benefits in the management of cardiorespiratory arrests by paramedical staff and rescue teams: the procedure is easy to learn, the device improves airway patency, leaves the operator's hands free, allows endotracheal aspiration to be performed and reduces the risk of hyperinsufflation. These advantages make the use of the laryngeal mask a technique which should be taught to any staff liable to face and manage cases of cardiorespiratory arrest. The laryngeal mask cannot and does not replace endotracheal tubing which remains the only technique that guarantees upper airway patency and protection as well as efficient ventilation control. However, in some situations tubing may prove difficult and even, at times, impossible to perform. This is when the laryngeal mask will come in handy, either as a temporary solution or as an alternative to difficult or impossible tubing techniques.
Pitti
R
R
Département d'Anesthésie-Réanimation, HIA Legouest, Metz Armées.
Barriot
P
P
Ladagnous
J F
JF
Giraud
D
D
Hohl
B
B
D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation; D004630:Emergencies; D006282:Health Personnel / Q000193:education; D006801:Humans; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks
Le masque laryngé en médecine d'urgence.