The Laryngeal Mask Airway in Paediatric Practice

Airway complications in infants: comparison of laryngeal mask airway and the facemask-oral airway

“…However, there is little published work on the use of the size #1 LMA. 8 Those that have used it have urged caution with its use. The anatomical differences between infants and children suggest that a satisfactory position is more difficult to achieve in infants.…”

The new air‐QTM intubating laryngeal airway for tracheal intubation in children with anticipated difficult airway: a case series

“…Although development of the LMA‐Fastrach TM and LMA‐CTrach TM have facilitated LMA‐assisted tracheal intubations in both elective and emergent difficult airway scenarios in adults, such advancements have not yet been available for children. The main advantages of LMA‐assisted tracheal intubation are (i) ease of placement, (ii) reliable alignment of the glottic opening, (iii) the ability to continuously oxygenate and ventilate, and (iv) minimizing disconnection time from the breathing circuit (5). However, utilizing the classic LMA for tracheal intubation in neonates and children has some limitations, and modification of the LMA and/or tracheal tube (TT) may have to be made for a successful intubation (1,6,7).…”

Successful Tracheal Intubation through an Intubating Laryngeal Airway in Pediatric Patients with Airway Hemorrhage

“…These properties allow for epiglottic isolation and passage of a larger-bore ETT with a greater depth of penetration of the inserted ETT into the trachea. These design features, which aid in epiglottic isolation, may help the emergency physician when intubating through this device in younger children, in whom there is a higher incidence of epiglottic downfolding when a supraglottic airway is placed (23,24). Lastly, mask ridges are incorporated into the front end of the mask bowl.…”