Laryngeal mask airway versus endotracheal tube in pediatric adenotonsillectomy

Abstract

Use of the LMA during pediatric tonsil surgery does not appear to have any major disadvantages compared to use of the ETT. In fact, analysis of safety, comfort, complications, and postoperative problems suggests that LMA may be superior for some outcome variables such as coughing and gagging. Use of spontaneous ventilation is more common among LMA patients, although the significance of this finding is uncertain.

The Flexible Laryngeal Mask Airway in Pediatric Patients Undergoing Adenotonsillectomy

“…Ali CA et al [2] found that there was more coughing after extubation (ETT-17%, FLMA-5.7%), than after withdrawal of the FLMA. A study by DI Sierpina et al [20] demonstrated that, ETT use was associated with more coughing (48% for ETT and 20% for FLMA). Punkaj Kundra et al [19] had reported an increased incidence of persistent cough in the ETT group (36% ETT vs 15% FLMA).…”

The design of the perfect pediatric supraglottic airway device

“…The safety and efficacy of SGA use in pediatric patients is well established, for both the spontaneously breathing child and those requiring positive pressure ventilation of the lungs. Surgeries that have traditionally been accomplished with endotracheal tubes, such as adenotonsillectomies and laparoscopic procedures, have been safely done with SGAs . A recent study showed that SGA use in infants actually resulted in less perioperative respiratory adverse events compared with endotracheal intubation .…”

Efficiency Comparison of Laryngeal Tube Suctions and Classic Laryngeal Mask Airways through General Anesthesia with Controlled Ventilation

“…Its shape is adjusted by body temperature and closes pharynx and its surroundings without any damage. LMA length is selected based on the patient's weight (Eschertzhuber , 2009;Saraswat ., 2011;Cook & Kelly, 2015;Sierpina ., 2012; 10. R u s s o ., 2012).…”

“…R u s s o ., 2012). However, till date LT has not been studied well (Mathis ., 2013;Sierpina ., 2012;Russo , 2012). Nevertheless, those studies which analyzed LT had always resulted contradictory.…”

“…Thus we compared LMA and LT regarding their signif icant properties, such as ease and speed of placement and ventilation quality in both peak and leak pressures. While approved eff iciency of LT, it can be used as a new and alternative intubation device along with LMA in the surgery room and emergency ward (Cook ., 2003a;Sierpina ., 2012;Genzwuerker ., 2002).…”