What are contraindications/counterindications for a Laryngeal Mask? | Laryngeal Mask

What are contraindications/counterindications for a Laryngeal Mask?

The risks and complications result in the contraindications for the use of laryngeal masks. Laryngeal masks should be avoided in all operations where repositioning or frequent movement of the patient is foreseeable. Endotracheal intubation is standard here and is performed to ensure ventilation.

Also operations that take a long time or where there are strong pressure changes in the body, for example laparoscopy (laparoscopy), are contraindications for the Laryngeal Mask. In addition to the circumstances of the operation, patients may also give rise to contraindications for a laryngeal mask. Due to the risk of aspiration, laryngeal masks must not be used in any patient with known reflux disease or a tendency to frequent belching.

Diseases and infections in the area of the throat and larynx also prohibit the use of a laryngeal mask. Another contraindication for the use of laryngeal masks is an existing pregnancy or severe overweight. In this case, there is also the risk of aspiration, as the high body weight in a lying position exerts strong pressure on the stomach and possibly causes a backflow of gastric acid into the esophagus.

Sore throat after a larynx mask

Although the laryngeal mask is much gentler than the tube, in some cases sore throats still occur after the operation. This sore throat is usually due to irritation of the mucous membranes in the throat and larynx area caused by the insertion and removal of the mask. In most cases, the sore throat remains only for a short time and does not require any further therapy. However, if breathing problems and shortness of breath occur in addition, a medical checkup must be carried out immediately to rule out life-threatening swelling and injuries.