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Özellikle maskenin doğru yerleşimini sağlamak için balon kullanımı ve steteskopla kontrol etme yöntemleri de videoda açıklanmaktadır."]},"endTime":368,"title":"Laringal Maske Yerleştirme Eğitim Videosu","beginTime":0}],"fullResult":[{"index":0,"title":"Laringal Maske Yerleştirme Hazırlığı","list":{"type":"unordered","items":["Laringal maske yerleştirme için uygun boyda maske, kaf enjektörü, kayganlaştırıcı jel, aspirasyon kateteri, tespit materyali ve steteskop gereklidir.","Oksijen kaynağının kontrol edilmesi ve eldiven giymek gerekir."]},"beginTime":3,"endTime":77,"href":"/video/preview/10067985775621135791?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=3&ask_summarization=1"},{"index":1,"title":"Laringal Maske Kontrolü","list":{"type":"unordered","items":["Laringal maskenin çalışıp çalışmadığı kontrol edilirken enjektör ile balon şişirilir ve basınç kontrol edilir.","Basınç düşük veya şekil bozuksa maskenin kullanılmaması gerekir.","Maskenin ağız içine yerleştirilmesi için hava bölümü indirilmelidir."]},"beginTime":77,"endTime":155,"href":"/video/preview/10067985775621135791?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=77&ask_summarization=1"},{"index":2,"title":"Maske Yerleştirme","list":{"type":"unordered","items":["Laringal maskenin arkasına kayganlaştırıcı jel sürülür, ön yüzüne hiçbir materyal sürülmemelidir.","Maske yerleştirilirken sol elle baş geriye alınır ve maskenin sert damağa doğru ağız içine ilerletilmesi gerekir.","Yerleştirme sonrası balon şişirilir ve verilecek volüm laringal maskenin boyutuna göre değişir."]},"beginTime":155,"endTime":246,"href":"/video/preview/10067985775621135791?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=155&ask_summarization=1"},{"index":3,"title":"Kontrol ve Tespit","list":{"type":"unordered","items":["Balon şişirildikten sonra akciğerlerin şiştiğini gösteren işaretlere bakılır ve steteskopla hastanın dinlenmesi gerekir.","Laringal maskenin siyah çizgisinin üst dişlerin arasında ve orta hatta olması kontrol edilmelidir.","Tespit işlemi için önce üst çene, sonra alt çene için zigoma'nın altından yanaktan dudak üstünden geçerek tüpün etrafını sararak materyal yapıştırılır."]},"beginTime":246,"endTime":346,"href":"/video/preview/10067985775621135791?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=246&ask_summarization=1"}],"linkTemplate":"/video/preview/10067985775621135791?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Laringeal Maske Yerleştirme 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arkadaşlar, Anestezide kullanılan yardımcı ekipmanlardan birisi olan laringeal maske airway (laryngeal mask airway) (LMA) videosu detaylı bir anlatımla sizlerle. Videoyu beğenmeyi ve...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/4258515/6fc012d26dff3e3d65561046335f4d93/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/C9UmwwAAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"1","reqid":"1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=videoid:15717002197622561114","teaser":[{"list":{"type":"unordered","items":["Bu video, bir anestezi uzmanı tarafından sunulan eğitim içeriğidir ve anestezi teknikeri veya sağlık çalışanlarına yönelik Largeal Mask Airway (LMA) kullanımını anlatmaktadır.","Video, LMA'nın parçaları, kullanım talimatları ve teknik özellikleri ile başlayıp, ekipmanın tarihçesine geçiyor. Ardından LMA'nın endotrakeal tüp ve yüz maskesi ile karşılaştırılarak avantaj ve dezavantajları anlatılıyor. Son bölümde ise farklı LMA türleri (klasik, Proceal, Pastırma, entübasyon güçlü hastalarda kullanılan özel LMA, LMA stretch, disposable LMA) tanıtılıyor ve uygun boyutların hasta yaşına ve kilosuna göre nasıl seçileceği detaylı bir tablo üzerinden açıklanıyor.","Video ayrıca LMA'nın doğru şişirme hacmi, bantlama ve boyun bağı ile tespit edilmesi gibi önemli noktaları vurgulayarak, anestezi teknikerlerinin LMA kullanımını doğru şekilde öğrenmeleri için gerekli bilgileri içermektedir."]},"endTime":1307,"title":"Anestezi Ekipmanı: Largeal Mask Airway (LMA) Eğitimi","beginTime":0}],"fullResult":[{"index":0,"title":"LMA Tanıtımı","list":{"type":"unordered","items":["Bu videoda anestezide kullanılan yardımcı ekipmanlardan biri olan Largeal Mask Airway (LMA) anlatılacaktır.","Klasik LMA'lar genellikle kullanılırken, farklı türde LMA'lar da bulunmaktadır.","LMA'nın parçalarını öğrenmeden önce kullanım talimatlarını ve diğer bilgileri gözden geçirmek önemlidir."]},"beginTime":0,"endTime":138,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=0&ask_summarization=1"},{"index":1,"title":"LMA'nın Özellikleri","list":{"type":"unordered","items":["LMA, belirli bir uzunluğu bulunan endotroel tüpe benzeyen ama çapı geniş kısa bir tüptür.","Tüpün ucuna bağlı, çevresinde şişirilebilir elips şeklinde bir kapı (pilot balon) bulunmaktadır.","Tüpün arka tarafında solunum devresine bağlamayı sağlayan konnektör ve pilot balonun ucunda enjektörle şişirmeye olanak sağlayan barftan oluşur."]},"beginTime":138,"endTime":207,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=138&ask_summarization=1"},{"index":2,"title":"LMA'nın Kullanımı","list":{"type":"unordered","items":["LMA, trakya tüp ve maske ile ventilasyona bir alternatif oluşturur.","LMA havası inikken uygulama sırasında sadece arka tarafına kayganlaştırılır ve kör dalış tekniği ile hipofrekse yerleştirilir.","Kaf şişirildiğinde girişinin etrafında düşük basınçlı bir tıkaç oluşturur ve bu işlem, oral airbag'in yerleştirilmesi için gerekenden hafifçe daha fazla anestezi derinliği ve kas gevşetici gerektirir."]},"beginTime":207,"endTime":284,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=207&ask_summarization=1"},{"index":3,"title":"LMA'nın Avantajları ve Dezavantajları","list":{"type":"unordered","items":["LMA'nın yerleştirme süresi endotrakeal tüpten daha kısa olup, 10-25 saniye arasında gösterilmektedir.","LMA parancial sekresyonlardan kısmen korur ancak gastrik regürjitasyondan koruyamaz.","Hasta havayolu reflekslerini kazanana kadar (nefes alıp vermesi veya uyanması) LMA yerinde bırakılmalıdır."]},"beginTime":284,"endTime":426,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=284&ask_summarization=1"},{"index":4,"title":"LMA'nın Tarihi ve Avantajları","list":{"type":"unordered","items":["LMA 1981 yılında Dr. Archie Brain tarafından tasarlanmış ve 1988 yılına kadar kullanıma sunulmuştur.","LMA, endoterkel tüpten sonra geliştirilen en önemli havayolu aracı olmuştur.","LMA, endotroel entübasyona göre yerleştirilmesi kolay, zor antisyonda yararlı, kas gevşetici ve lagoskop zorunlu olmayan, diş ve havayolu hasarı minimal, laringo spazm ve bronko spazm gelişme riski az, hemodinamik ve introküler basınç değişiklikleri daha az olan bir ekipman olarak avantajlıdır."]},"beginTime":426,"endTime":526,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=426&ask_summarization=1"},{"index":5,"title":"LMA'nın Dezavantajları ve Yüz Maskesine Göre Avantajları","list":{"type":"unordered","items":["LMA'nın havayolu emniyeti az, yüzüstü veya yan pozisyonlarda kullanılmaz, gaz kaçağı riski vardır, gastrik distansiyona neden olabilir ve maksimum pozitif basınçlı ventilasyon sınırlıdır.","LMA, yüz maskesine göre serbest elle çalışma olanağı sağlar, yaşlı ve dişsiz hastalarda uyum sorunu yoktur, sakallı hastalarda daha iyi tespit olanağı sağlar, hava yolunun devamlılığı daha kolaydır ve havayolu sekresyonlara karşı korur.","LMA, entidal gaz konsantrasyonlarını daha kolay izler, pasinal sinir ve göz travması daha azdır."]},"beginTime":526,"endTime":676,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=526&ask_summarization=1"},{"index":6,"title":"LMA'nın Dezavantajları ve Farklı Tipleri","list":{"type":"unordered","items":["LMA, yüz maskesine göre çok girişimseldir, yeni bir deneyim gerektirir, derin anestezi gerektirir ve kap içine azot protoksit geçişi olabilir.","LMA'nın en yaygın kullanılan tipi klasik LMA'dır.","Proceal LMA'lar, pozitif basınçlı ventilasyon uygulamaları ve mideyi boşaltmak için nazogastrik tüp geçişine olanak sağlar."]},"beginTime":676,"endTime":831,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=676&ask_summarization=1"},{"index":7,"title":"LMA Türleri","list":{"type":"unordered","items":["Largeal maske içinde NGAL tüp yerleştirilmesi ve entübasyonu kolaylaştırmak için tasarlanmış özel bir LMA vardır.","LMA Strech, trial entrosyona olanak sağlar ve ucuna yerleştirilmiş fiber optik sayesinde lars ve vokal kordları görerek tüpün iletilmesine imkan verir.","Disposible LMA tek kullanımlık lemalardır ve tekrar kullanılmayan bir lema çeşididir."]},"beginTime":838,"endTime":908,"href":"/video/preview/15717002197622561114?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=838&ask_summarization=1"},{"index":8,"title":"LMA Uygun Boyutları","list":{"type":"unordered","items":["LMA'nın uygun boyutları tabloda incelenir ve bu tablo anestezi teknikerleri ve sağlık çalışanları için havayolu kontrolü açısından önemlidir.","Maske boyutu 5, 70 kilo ve üzeri yetişkinlere seçilir ve kap volümü 40 cc'dir.","Maske boyutu 4, 50-70 kilo arası yetişkinlere; 3, 30-50 kilo arası yetişkinlere; 2, 20-30 kilo arası bebek veya çocuğa; 1, 6,5 kilonun altına yeni doğan ve bebeklere 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LMA'yı kullanmadan önce, hasta için uygun boyda LMA'nın seçildiğinden ve balonun tamamen indirildiğinden emin olunmalıdır. 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Konuşmacı, acil durumlarda entübasyon uygulamasının yapılamadığı durumlarda kullanılabilecek alternatif yöntemleri anlatmaktadır.","Video, entübasyon uygulamasının yapılamadığı durumlarda kullanılabilecek iki alternatif yöntemi detaylı olarak göstermektedir: LMA (Larengel Maske) ve Kombitürk. Ayrıca levha ve DMA gibi diğer alternatif yöntemler de ele alınmaktadır. Konuşmacı, her iki yöntemin uygulama adımlarını plastik maket üzerinde göstererek, bu yöntemlerin teknik ve donanım bilgisi gerektirmeyen, kolay uygulanabilen ve hastanın hava yolu açıklığını sağlayan alternatiflerdir.","Videoda, entübasyon uygulamasının detaylı hazırlık aşamalarına ihtiyaç duyduğu, ancak alternatif yöntemlerin (özellikle LMA ve Kombitürk) daha hızlı ve pratik olduğu vurgulanmaktadır. Özellikle acil durumlarda (112) ve ileri yoğun bakım ünitelerinde kullanılan entübasyon yerine, bu alternatif yöntemlerin daha etkili olabileceği belirtilmektedir."]},"endTime":796,"title":"Acil Durumlarda Hava Yolu Açma Teknikleri","beginTime":0}],"fullResult":[{"index":0,"title":"Entübasyon Alternatifleri","list":{"type":"unordered","items":["Bu videoda entübasyon uygulaması yapılamadığında hava yolu açıklığını sağlamak ve solunum desteğini sağlamak için iki alternatif yöntem anlatılacak.","İlk yöntem LMA (Larengel Maske) olup, kolay uygulanabilen ve teknik bilgi gerektirmeyen bir yöntemdir.","İkinci yöntem Kombitürk olup, LMA kadar teknik bilgi gerektirmeyen ve akciğerlerin daha fazla havalanmasını sağlayan bir yöntemdir."]},"beginTime":0,"endTime":47,"href":"/video/preview/7477539026961895180?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=0&ask_summarization=1"},{"index":1,"title":"Entübasyon Öncesi Hazırlık","list":{"type":"unordered","items":["Hastada baş-çene pozisyonu verilerek havayolu açıklığı sağlanır ve ağız içerisindeki sekresyon veya yabancı cisimler temizlenir.","Ağız içerisindeki sekresyon temizlendikten sonra baş pozisyonu korunarak erbiyi yerleştirilir.","Ambu maske yöntemi ile en az iki dakika soğutma yapılır, bu süre dakikada 10-20 arasında oluşacak şekilde, hiper ventilasyona sebep olmadan 3-4 saniyede bir üfleme ile sağlanır."]},"beginTime":47,"endTime":114,"href":"/video/preview/7477539026961895180?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=47&ask_summarization=1"},{"index":2,"title":"LMA Tekniği","list":{"type":"unordered","items":["Sahada en çok tercih edilen yöntemlerden biri LMA (Larengel Maske) olup, dil kökünü geçtikten sonra epiklot yukarıda kalır ve özofagus yemek borusu devam eder.","LMA tekniğinde kaf şişirildikten sonra balon yemek borusunu ve yutağı kapatır, ön alandaki hava boşluklarından 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olmadığından emin olunmuyor.","Kombitürk uygulamasında önce kafların tamamen balonların havası indirilir ve jel sürülerek daha rahat yerleşmesi sağlanır.","Tüp körlemesine itildiğinde, ilk kaf özefagus yemek borusunu kapatır, diğer kaf yutak kısmını kapatır ve sıkışan hava mecburen epiklotu açarak akciğerlere doğru gider."]},"beginTime":414,"endTime":513,"href":"/video/preview/7477539026961895180?parent-reqid=1769840963855386-5704284489046328102-balancer-l7leveler-kubr-yp-vla-74-BAL&text=LSreggae&t=414&ask_summarization=1"},{"index":6,"title":"Kombitürk Uygulama Adımları","list":{"type":"unordered","items":["Uygulamadan önce hastaya iki dakika erwy ile ambu maske ile solunum sağlanmalıdır.","Tüp körlemesine itildiğinde dil kökünü geçtikten sonra bırakılır ve kaslar şişirilir.","İlk önce küçük olan yemek borusunu kapatacak olan tüp kulak memesi kıvamında şişirilir, daha sonra en arkadaki dışarıya hava kaçışını engelleyecek olan tüp 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