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Airway and ventilation in day case anaesthesia 

Airway and ventilation in day case anaesthesia
Airway and ventilation in day case anaesthesia

Jan Jakobsson

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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.

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