Anesthesia for pediatric gastroscopy: a study comparing the ProSeal laryngeal mask airway with nasal cannulae

Lopez-Gil, M.; Brimacombe, J.; Diaz-Regañon, Gonzalo

doi:10.1111/j.1460-9592.2006.01924.x

Cited by 22 publications

(9 citation statements)

References 7 publications

(8 reference statements)

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“…Despite this favorable result, more studies are needed before the PLMA can be recommended for routine use during pediatric laparoscopic surgery. Another use of the PLMA is for gastroscopy (54). When compared with nasal cannulae, the operation and anesthesia times were shorter in the PLMA group and oxygen saturations were higher (100% vs 94%) (36).…”

mentioning

confidence: 99%

A critique of elective pediatric supraglottic airway devices

White

Cook

Stoddart

2009

Pediatric Anesthesia

102

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Summary In 1988, when the Laryngeal Mask Airway‐Classic™ (Intavent Orthofix, Maidenhead, UK), was introduced there were only two choices of airway management: tracheal tube or facemask. The supraglottic airway, as we now understand the term, did not exist. Yet, 20 years later, we are faced with an ever increasing choice of supraglottic airway devices (SAD). For many SADs, with the exception of the LMA‐ClassicTM and LMA‐ProsealTM (Intavent Orthofix, Maidenhead, UK), there is a lack of high quality data of efficacy. The best evidence requires a randomized controlled trial comparing a new device against an established alternative, properly powered to detect clinically relevant differences in clinically important outcomes. Such studies in children are very rare. Safety data is even harder to establish particularly for rare events such as aspiration. Therefore, most safety data comes from extended use rather than high quality evidence which inevitably biases against newer devices. For reason of these factors, claims of efficacy and particularly safety must be interpreted cautiously. This narrative review aims to present the evidence surrounding the use of currently available pediatric SADs in routine anesthetic practice.

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mentioning

confidence: 99%

A critique of elective pediatric supraglottic airway devices

White

Cook

Stoddart

2009

Pediatric Anesthesia

102

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“…found ProSeal LMA insertion quicker with fewer airway complications compared with nasal prongs. [ 51 ] The pediatric endoscope can also be inserted through the drain port of a 2 nd generation SGA making it possible to ventilate and operate at the same time. The gastro-LT is a modification of the LT with a dedicated channel for endoscope, but there is no literature on its availability or use in children.…”

Section: Gastrointestinal Endoscopymentioning

confidence: 99%

Small is the new big: An overview of newer supraglottic airways for children

Goyal

2015

J Anaesthesiol Clin Pharmacol

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Almost all supraglottic airways (SGAs) are now available in pediatric sizes. The availability of these smaller sizes, especially in the last five years has brought a marked change in the whole approach to airway management in children. SGAs are now used for laparoscopic surgeries, head and neck surgeries, remote anesthesia; and for ventilation during resuscitation. A large number of reports have described the use of SGAs in difficult airway situations, either as a primary or a rescue airway. Despite this expanded usage, there remains little evidence to support its usage in prolonged surgeries and in the intensive care unit. This article presents an overview of the current options available, suitability of one over the other and reviews the published data relating to each device. In this review, the author also addresses some of the general concerns regarding the use of SGAs and explores newer roles of their use in children.

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“…It is well established as a conduit for diagnostic bronchoscopy despite reports of resistance to the passage of the bronchoscope with single use PVC EGAs . Models with a side‐channel have been used for gastroscopy . The flexible laryngeal mask airway ™ , also available as a single use version, has found increasing use during adeno‐tonsillectomy and dental surgery .…”

Section: Current Devices For Managing the Pediatric Airwaymentioning

confidence: 99%

Pediatric airway management: current practices and future directions

Sunder

Haile

Farrell

et al. 2012

Pediatric Anesthesia

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Management of a pediatric airway can be a challenge, especially for the non-pediatric anesthesiologists. Structured algorithms for an unexpected difficult pediatric airway have been missing so far. A recent step wise algorithm, based on the Difficult Airway society (DAS) adult protocol, is a step in the right direction. There have been some exciting advances in development of pediatric extra-glottic devices for maintaining ventilation, and introduction of pediatric versions of new 'non line of sight' laryngoscopes and optical stylets. The exact role of these devices in routine and emergent situations is still evolving. Recent advances in simulation technology has become a valuable tool in imparting psychomotor and procedural skills to trainees and allied healthcare workers. Moving toward the goal of eliminating serious adverse events during the management of routine and difficult pediatric airway, authors propose that institutions develop a dedicated Difficult Airway Service comprising of a team of experts in advanced airway management.

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Anesthesia for pediatric gastroscopy: a study comparing the ProSeal laryngeal mask airway with nasal cannulae

Abstract: We conclude that pediatric gastroscopy is quicker and has fewer airway complications when performed through the ProSeal LMA than using nasal cannulae and a conventional approach by experienced users.

Cited by 22 publications

References 7 publications

A critique of elective pediatric supraglottic airway devices

A critique of elective pediatric supraglottic airway devices

Small is the new big: An overview of newer supraglottic airways for children

Pediatric airway management: current practices and future directions

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