Comparison of the laryngeal mask (LMA™) and laryngeal tube (LT®) with the perilaryngeal airway (CobraPLA®) in brief paediatric surgical procedures
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Australian Soc Anaesthetists
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
We compared the laryngeal mask airway (LMA (TM)) and the laryngeal tube (LT (R)) with the perilaryngeal airway (CobraPLA (R), PLA) in anaesthetised, paralysed children having brief surgical procedures. After obtaining informed consent, 90 paediatric ASA Status 1 and 2 patients awaiting short surgical procedures were randomised to have their airways managed with an LMA, LT or PLA.,Anaesthesia was induced with sevofluarane (2.5 to 4%) and muscle paralysis with mivacurium (0.2 mg/kg intravenously). The number of insertion attempts, time taken to insert the device, haemodynamic responses to insertion (mean arterial blood pressure, heart rate, pulse oximetry and end-tidal CO), clinical performance and occurence of postoperative sore throat were recorded. When the airway device was removed, it was examined for visible blood. Patients and parents were asked about the occurrence of sore throat, dysphonia and dysphagia 24 hours postoperatively. Heart rate, mean arterial blood pressure, pulse oximetry and end tidal CO2 did not differ among the groups. Insertion times for the devices were similar (LMA: 19 +/- 11.seconds, LT: 21 +/- 12.seconds, PLA: 18 +/- 12 seconds), as were the rates of successful insertion at first attempt (LMA 66.7%; LT 70.0%; PLA 73.3%). The number and type of airway interventions to achieve at? affective airway were comparable. When the airways were removed, positive blood traces were noted on 20% of the LMAs, 20% of the PLAs and 10% of the LTs. Haemodynamic, ventilation and oxygenation variables throughout the surgery were similar with LMA, LT and PLA and there were no significant differences in insertion time or signs or symptoms of mucosal trauma when these devices were used in paralysed children.
Açıklama
Anahtar Kelimeler
Anaesthesia, General, Intubation Intratracheal, Laryngeal Mask, Insertion, Intubation, Anesthesia, Device
Kaynak
Anaesthesia And Intensive Care
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
36
Sayı
3
