Airway Complications in Infants: Comparison of Laryngeal Mask Airway and the Facemask Oral-Airway

Harnett, Miriam; Kinirons, B.; Heffernan, Anne; Motherway, Catherine; Casey, William

doi:10.1097/00132586-200012000-00030

Cited by 21 publications

(28 citation statements)

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“…15 Furthermore, it is important to record any side effects, as in a case series of a comparison of LMA over face mask in infants in the operating theater, significantly more side effects were reported using LMA over face mask. 16 Although previous studies showed that the LMA was effective in preterm infants weighing <2000 g, 10,11 the latest version of the International Guidelines for Neonatal Resuscitation states that "a LMA should be considered during resuscitation if face mask ventilation is unsuccessful and tracheal intubation is unsuccessful or not feasible. The LMA may be an alternative to a face mask for PPV among newborns weighing >2000 g or delivered $34-week gestation."…”

mentioning

confidence: 99%

Supreme Laryngeal Mask Airway versus Face Mask during Neonatal Resuscitation: A Randomized Controlled Trial

Trevisanuto

Cavallin²,

Nguyen

et al. 2015

The Journal of Pediatrics

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mentioning

confidence: 99%

Supreme Laryngeal Mask Airway versus Face Mask during Neonatal Resuscitation: A Randomized Controlled Trial

Trevisanuto

Cavallin²,

Nguyen

et al. 2015

The Journal of Pediatrics

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“…In an article in which airway complications in infants under anaesthesia ventilated through a laryngeal mask were compared with those in which the face mask-oral airway was used, the authors found that 'minor' complications in the laryngeal mask airway group were higher; this was in small children, but their conclusion that the laryngeal airway should be used with caution can be applied to our patient (6).…”

Section: Discussionmentioning

confidence: 83%

Bilateral hypoglossal nerve injury following the use of the laryngeal mask without the use of nitrous oxide

Sommer¹,

Schuldt²,

Runge³

et al. 2004

Acta Anaesthesiol Scand

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Hypoglossal nerve injury is a rare complication of anaesthesia airway management in adults. Until now the use of nitrous oxide for anaesthesia supposedly contributed to this complication. We present a case of bilateral hypoglossal nerve injury following the use of a laryngeal mask airway without the use of nitrous oxide. At the conclusion of 3 h of surgery in extreme side rotation, a 15-year-old boy of 88 kg could not extend his tongue beyond his teeth. An MRI confirmed the absence of pharyngeal haematoma and the absence of thrombosis of the basilar artery. We conclude that even when patients have no medical history and nitrous oxide is not being used, prolongation of the operation in an extreme position might increase the risk of major complications with a laryngeal mask.

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“…However, inserting an airway may lead to airway complications such as laryngospasm, coughing, and breath holding (17). Upper airway obstruction also prevents deeper levels of anesthesia, which thereby increases the risk of inserting an airway under light anesthesia.…”

Section: Discussionmentioning

confidence: 99%

The Endoscopically Measured Effects of Airway Maneuvers and the Lateral Position on Airway Patency in Anesthetized Children with Adenotonsillar Hypertrophy

Arai¹,

Fukunaga²,

Ueda³

et al. 2005

Anesthesia & Analgesia

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Obstruction of the upper airway is a major challenge for anesthesiologists administering general anesthesia in spontaneously breathing children with adenotonsillar hypertrophy. Lateral positioning is a simple treatment for obstructive sleep apnea. In this study, we examined the effects of body position shifting and common airway maneuvers such as chin lift and jaw thrust on airway patency (stridor score and upper airway dimensions by endoscopy) in anesthetized children scheduled for adenotonsillectomy. Eighteen children aged 1-11 yr were anesthetized with sevoflurane. During spontaneous breathing with 5% sevoflurane and 100% oxygen, upper airway dimensions and stridor score were recorded. After baseline recording, chin lift and jaw thrust were performed in both the supine and the lateral decubitus position. Chin lift, jaw thrust, and lateral position increased the airway dimensions and improved the stridor score. Moreover, lateral positioning enhanced the effects of these airway maneuvers on airway patency. We concluded that lateral positioning combined with airway maneuvers provided better airway patency for anesthetized children with adenotonsillar hypertrophy.

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Airway Complications in Infants: Comparison of Laryngeal Mask Airway and the Facemask Oral-Airway

Cited by 21 publications

References 0 publications

Supreme Laryngeal Mask Airway versus Face Mask during Neonatal Resuscitation: A Randomized Controlled Trial

Supreme Laryngeal Mask Airway versus Face Mask during Neonatal Resuscitation: A Randomized Controlled Trial

Bilateral hypoglossal nerve injury following the use of the laryngeal mask without the use of nitrous oxide

The Endoscopically Measured Effects of Airway Maneuvers and the Lateral Position on Airway Patency in Anesthetized Children with Adenotonsillar Hypertrophy

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