A comparison of the breathing apparatus deadspace associated with a supraglottic airway and endotracheal tube using volumetric capnography in young children.

Korean journal of anesthesiology
Eduardo Javier Goenaga-DiazThomas Wesley Templeton

Abstract

Supraglottic airway (SGA) devices including the air-Q® are being used with increasing frequency for anesthesia in infants and younger pediatric patients. To date, there is minimal research documenting the potentially significant airway deadspace these devices may contribute to the ventilation circuit when compared to an endotracheal tube (ETT). The aim of this study was to evaluate the airway apparatus deadspace associated with an air-Q® versus an ETT in young children. In a prospective cohort study, 59 patients between 3 months and 6 years of age, weighing between 5 and 20 kg, scheduled for outpatient urologic or general surgery procedures were recruited. An air-Q® or ETT was inserted at the discretion of the attending anesthesiologist, and tidal volume, positive end expiratory pressure, respiratory rate, and end-tidal CO2 were controlled according to protocol. Airway deadspace was recorded using volumetric capnography every 2 min for 10 min. Groups were similar in demographics. There was a significant difference in weight-adjusted deadspace volume between the air-Q® and ETT groups, 4.1 ± 0.8 ml/kg versus 3.0 ± 0.7 ml/kg, respectively (P < 0.001). Weight-adjusted deadspace volume (ml/kg) increased significantly with decreasing...Continue Reading

References

Aug 22, 2006·Paediatric Anaesthesia·Anthony ChauMark Ansermino
Nov 29, 2007·Anesthesia and Analgesia·Javier Garcia-FernandezJavier F Belda
Jan 11, 2008·Paediatric Anaesthesia·Caroline DuracherGilles Orliaguet
Mar 3, 2012·Anesthesia and Analgesia·Gerardo TusmanStephan H Bohm
Mar 22, 2014·Anesthesia and Analgesia·Matthew F Pearsall, Jeffrey M Feldman
Nov 15, 2014·The European Respiratory Journal·H Thomas Robertson
May 6, 2016·Critical Care : the Official Journal of the Critical Care Forum·Jonne DoorduinLeo M A Heunks
Apr 25, 2018·Circulation·Bradley S MarinoUNKNOWN American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Counc

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