Show Summary Details
Page of

Airway and ventilation in day case anaesthesia 

Airway and ventilation in day case anaesthesia
Chapter:
Airway and ventilation in day case anaesthesia
Author(s):

Jan Jakobsson

DOI:
10.1093/med/9780199652969.003.0007
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy).

date: 20 November 2017

• 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.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.