Purpose: To compare the incidence of airway complications in children less than one year of age whose airways were maintained during anesthesia with either a laryngeal mask airway (LMA) or a facemask and oral airway (FM-OA).
Methods:We randomized 49 -ASA class 1&2 -infants to an LMA or FM-OA group. All infants were undergoing minor general, urological or orthopedic procedures. Anesthesia was induced and maintained with halothane in nitrous oxide 50% and oxygen. The airway was removed in both groups when the infant was awake. The occurrence of airway complications (breath-holding, coughing, laryngospasm, secretions, obstruction and oxygen saturation < 95%) at induction of anesthesia, intraoperatively and during emergence from anesthesia was recorded.Results: Airway complications occurred perioperaively in 15 of 27 infants in the LMA group and in 5 of 22 infants in the FM-OA group (P :0.02).
Conclusion:In infants, the use of the LMA is associated with an increased incidence of airway complications compared with the use of the FM-OA.Objectif : Comparer l'incidence de complications de la canulation chez des enfants de moins d'un an dont l'accès aux voies aériennes a été maintenu pendant l'anesthésie, soit avec un masque laryngé (ML), soit avec un masque et une canule orale (M-CO).Méthode : Nous avons réparti 49 enfants -ASA I et II -en groupes ML ou M-CO. Tous les enfants devaient subir une intervention mineure, urologique ou orthopédique. L'anesthésie a été induite et maintenue avec de l'halothane dans un mélange à 50 % de protoxyde d'azote et d'oxygène. La canule a été retirée chez tous les enfants à leur réveil. On a noté l'occurrence de complications de la canulation (arrêt de la respiration, toux, laryngospasme, sécrétions, obstruction et saturation en oxygène < 95%) lors de l'induction de l'anesthésie, pendant l'opération et pendant la récupération de l'anesthésie.Résultats : Les complications peropératoires de la canulation sont survenues chez 15 des 27 enfants du groupe ML et chez 5 des 22 enfants du groupe M-CO (P : 0,02).Conclusion : Chez les enfants, l'usage du ML, comparé à celui d'un masque et d'une canule orale, est associé à une incidence accrue de complications de la canulation.
In our institution, the largest contributory factor to CIs with PCAs was programming error. Strategies to minimize this problem include better education and surveillance.
A postal questionnaire on sporting activity following renal transplantation revealed that most units encouraged participation in the majority of sports, but counselled against contact sports such as rugby football, boxing, and Asian martial arts.
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