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Is adenoidectomy in children safer with laryngeal mask airway or with tracheal intubation?
Author(s) -
DUBREUIL MARC,
CROS ANNE MARIE,
BOUDEY CHRISTIAN,
ESTEBEN DOMINIQUE,
MILACIC MARTINE
Publication year - 1993
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1993.tb00107.x
Subject(s) - medicine , adenoidectomy , laryngospasm , stridor , anesthesia , airway , surgery , laryngeal mask airway , tracheal intubation , intubation , general anaesthesia , tracheal tube , tonsillectomy , laryngeal masks
Summary Adenoidectomy in paediatric outpatient surgery is assumed to require tracheal intubation (TT). The laryngeal mask airway (LMA) commonly used for general paediatric surgery has never been previously studied for adenoidectomy. We therefore prospectively compared in a randomized manner, the incidence of complications with TT and LMA in 56 children undergoing adenoidectomy. Preoperative, intraoperative and the lowest S PO 2 values after removal of either TT or LMA were recorded. The respiratory complications, cough, stridor and/or laryngospasm, were recorded intraoperatively and after removal of the airway device. The oxygen saturation levels were significantly higher in the laryngeal mask airway group both intraoperatively and after removal of the respiratory device ( P <0.05). The incidence of respiratory complications was lower in the LMA group. In conclusion we have shown that the laryngeal mask airway with a flexometallic tube is a satisfactory alternative to tracheal intubation for outpatient paediatric adenoidectomy.