Safety and efficacy of the laryngeal mask airway. A prospective survey of 1400 children

Anaesthesia
M Lopez-GilM Alvarez

Abstract

A survey of laryngeal mask airway usage in 1400 infants and children by ten trainee anaesthetists was undertaken to provide information about insertion and complication rates using the standard insertion technique and a limited range of standardised anaesthetic techniques. Placement was successful in 90% (1258/1400) at the first attempt, 8% (112/1400) at the second attempt and 2% (29/1400) required an alternative technique of insertion. One patient vomited during insertion and the procedure was abandoned, but aspiration did not occur. The overall problem rate was 11.5% and there were significantly more problems during induction of anaesthesia (p < 0.02). Oxygen saturation decreased below 90% briefly on 23 occasions (1.7%). The incidence of problems was unrelated to the mode of ventilation, or whether isoflurane or total intravenous anaesthesia with propofol was used for maintenance. Most problems came with use of the size 1 laryngeal mask (p < 0.001). The subspecialty with the highest problem rate was ear, nose and throat surgery (p < 0.001). There was a significant decrease in problems with increasing experience (p < 0.001). There was no major morbidity associated with use of the device. We conclude that the laryngeal mask pro...Continue Reading

References

Aug 1, 1991·Anaesthesia·A I Brain
Apr 1, 1991·Anaesthesia·L R McNicol
Sep 1, 1990·Anaesthesia·D G Mason, R M Bingham
Nov 1, 1990·Anaesthesia·D F JohnstonH E Jones
Jul 1, 1995·Anesthesia and Analgesia·A I Brain
Dec 1, 1994·British Journal of Anaesthesia·M Logan
Aug 1, 1994·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·E Van Damme
Aug 1, 1994·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·U Braun, U Fritz
Aug 1, 1994·Archives of Otolaryngology--head & Neck Surgery·M F WatchaR Lusk
Dec 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A C WebsterM J Cook
Jul 1, 1993·British Journal of Anaesthesia·S L Moylan, M A Luce
Aug 1, 1993·Anesthesia and Analgesia·M MaroofM S Siddique
Feb 1, 1993·British Journal of Anaesthesia·I G Wilson
Feb 1, 1993·Anaesthesia and Intensive Care·J Brimacombe, A Berry
Mar 1, 1993·Anesthesia and Analgesia·M DubreuilC Ecoffey
Apr 1, 1993·Anaesthesia·D J Bihari, R W Chang

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Citations

Mar 26, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A H Samarkandi
May 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C ParkK H Lee
Apr 14, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M HarnettW Casey
Jun 8, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·T HiraiT Fukuoka
Jul 3, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Robin G Cox, David R Lardner
Jan 12, 2000·Pediatric Clinics of North America·J D McAllister, K A Gnauck
Mar 1, 1997·Journal of Clinical Anesthesia·J R Brimacombe
May 13, 1999·Paediatric Anaesthesia·M ZerafaA J Petros
May 2, 2002·Paediatric Anaesthesia·Ma Isabel Fernández-Jurado, Mariano Fernández-Baena
Jan 10, 2003·Paediatric Anaesthesia·Fabienne BordetDominique Chassard
Jul 13, 1999·The Laryngoscope·B E Duff
Oct 24, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·S Hachimi-IdrissiL Huyghens
Oct 23, 2004·Archives of Disease in Childhood. Fetal and Neonatal Edition·D TrevisanutoV Zanardo
Aug 1, 1997·Anesthesia and Analgesia·J R Brimacombe
Dec 20, 2011·Anesthesia and Analgesia·Michael R HernandezAdranik Ovassapian
Dec 25, 2015·Expert Review of Medical Devices·Andrea S HuangNarasimhan Jagannathan
Mar 2, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·K Nouette-GaulainUNKNOWN Société française d’anesthésie et de réanimation
Jul 2, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Ayako JinzenjiTakuya Miyawaki
May 5, 2009·Resuscitation·Bertram SchellerDirk Meininger
Aug 5, 2008·Pediatric Clinics of North America·Robert M Bingham, Lester T Proctor
Mar 4, 2008·Annales Françaises D'anesthèsie Et De Rèanimation·I Constant
Mar 15, 2006·Clinics in Perinatology·Enrique Udaeta Mora, Gary M Weiner
Apr 15, 2005·Paediatric Anaesthesia·Harald V GenzwuerkerHans-Juergen Rapp
Apr 15, 2005·Paediatric Anaesthesia·Philippe RichebéPierre Maurette
May 25, 2005·Paediatric Anaesthesia·D PietriniM Piastra
Mar 25, 2005·Paediatric Anaesthesia·Elena Miranda, Mt Quinzá
Feb 24, 2005·Paediatric Anaesthesia·M Lopez-Gil, J Brimacombe

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