Complications and fiberoptic assessment of size 1 laryngeal mask airway.

Abstract:

:In pediatric practice, complications due to the laryngeal mask airway (LMA) have been studied with size 2 LMA, but not with size 1 LMA. We, therefore, compared prospectively the complications induced by LMA size 1 and 2 in 141 children aged 21 days to 11 yr. Intraoperative and lowest SpO2 values after removal of LMA were recorded. The following complications were recorded: cough, laryngospasm, bronchospasm, apnea, and airway obstruction. In 14 patients in the size 1 LMA group and 26 patients in the size 2 LMA group, pharyngolaryngeal structures were checked with fiberoptic examination. The number of attempts, complications, intraoperative SpO2, and lowest SpO2 values were similar when using size 1 and size 2 LMA. Fiberoptic examination of size 1 LMA showed a high incidence of impinging of the epiglottis in the LMA bars without airway obstruction. In conclusion, there was no difference in the complication rate between the two pediatric sizes of LMA when used in pediatric patients.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Dubreuil M,Laffon M,Plaud B,Penon C,Ecoffey C

doi

10.1213/00000539-199303000-00012

subject

Has Abstract

pub_date

1993-03-01 00:00:00

pages

527-9

issue

3

eissn

0003-2999

issn

1526-7598

journal_volume

76

pub_type

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