Use of the laryngeal mask airway in children with upper respiratory tract infections: a comparison with endotracheal intubation

Anesthesia and Analgesia
Alan R TaitShobha Malviya

Abstract

Several studies suggest that placement of an endotracheal tube (ETT) in a child with an upper respiratory infection (URI) increases the risk of complications. However, the development of the laryngeal mask airway (LMA) has provided anesthesiologists with an alternative means of airway management. This study was therefore designed to evaluate the use of the LMA in children with URIs and to compare it with the ETT. The study sample consisted of 82 pediatric patients (3 mo to 16 yr of age) who presented for elective surgery with an URI. Patients with URIs were randomly allocated to receive either an ETT (n = 41) or a LMA (n = 41) and were followed for the appearance and severity of any perioperative complications. The two groups were similar with respect to age, gender, anesthesia and surgery times, number of attempts at tube placement, and presenting URI symptoms. There were no differences between groups in the incidence of cough, breath-holding, excessive secretions, or arrhythmias. Although one patient in the ETT group required a muscle relaxant for laryngospasm, the overall incidence of laryngospasm was similar between the two groups. There was, however, a significantly greater incidence of mild bronchospasm in the ETT group c...Continue Reading

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Citations

Feb 1, 2005·Best Practice & Research. Clinical Anaesthesiology·Tom Elwood, Katherine Bailey
Dec 21, 2000·Paediatric Anaesthesia·S J ParnisJ H Van Der Walt
Feb 14, 2012·International Journal of Pediatric Otorhinolaryngology·Caroline HalimiNicolas Leboulanger
Jan 10, 2012·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Babak GharaeiAlireza Shafiei Poor Kermany
Apr 29, 2014·International Journal of Pediatric Otorhinolaryngology·Patrick C WalzCharles A Elmaraghy
Oct 4, 2006·Current Opinion in Anaesthesiology·R Aantaa, T Manner
Oct 5, 2006·Current Opinion in Anaesthesiology·Alan R Tait
Feb 24, 2006·Paediatric Anaesthesia·Luciano BortoneFabio Martorana
Dec 17, 2008·Paediatric Anaesthesia·Sally Rampersad, Tom Elwood
May 25, 2005·Paediatric Anaesthesia·Gary M DohertyMichael D Shields
Mar 5, 2008·Paediatric Anaesthesia·Randall P FlickJuraj Sprung
Oct 6, 2006·Current Opinion in Anaesthesiology·Peter Rock, Preston B Rich
Nov 24, 2006·Paediatric Anaesthesia·Soo Im LimNicola S Somerville
Jan 18, 2006·Paediatric Anaesthesia·S KucukgucluF Ylmaz
Oct 4, 2006·Current Opinion in Anaesthesiology·C Verghese

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