Klinischer Einsatz der ProSeal®-Kehlkopfmaske bei Säuglingen, Kindern und Jugendlichen

Goldmann, K.; Malik, Amena; Hechtfischer, Carolin

doi:10.1007/s00101-011-1875-2

Cited by 3 publications

(1 citation statement)

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“…The low incidence of pediatric laryngeal mask insertion failure in our study is consistent with prior literature, confirming its use as an airway management device during general anesthesia. [ 5 7 8 9 ] Despite this, the serious nature of adverse airway events is a risk the anesthesiologists must put in mind, and factors associated with increased failure risk are identified by our study. As we did not record cases of failed insertion we compared the success of trial insertion from the first attempt with the second trial of insertion.…”

Section: Discussionmentioning

confidence: 92%

Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome

Asida

Ahmed

2016

Saudi J Anaesth

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Background:Laryngeal mask airway (LMA) is an useful alternative to endotracheal tube for airway management. The risk of life-threatening adverse respiratory events during its use is rare, but we need to know about the risk-adjusted prediction of its insertion failure requiring rescue tracheal intubation and its impact on patient outcome.Materials and Methods:Five hundred patients; 6 months to 12-year-old, American Society of Anesthesiologists I and II scheduled to undergo elective surgical procedures that require general anesthesia were included in this study. LMA was inserted after induction of anesthesia. The insertion conditions, intra, and postoperative events were recorded. Our primary outcome variable was trial success from the first time.Results:We recorded 426 cases (85.2%) of first trial success with clear airway compared to 46 case (9.2%) of second trial success (P ≤ 0.001). Predictors of failure of first attempt of LMA insertion include abnormal airway anatomy (91%), body weight <16 kg and age below 5 years (44%), the use of LMA size of 1 and 1.5 (3.8%), the intraoperative lateral position (3.8%).Conclusion:The data obtained from this study support the use of the LMA as a reliable pediatric supraglottic airway device, demonstrating relatively low failure rates. Predictors of LMA failure in the pediatric surgical population should be independently considered.Trial Registration:The study is registered in the Australian and New Zealand clinical trial registry with the allocated trial number: ACTRN12614000994684. Web address of trial: http://www.ANZCTR.org.au/A CTRN12614000994684.aspx.

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Section: Discussionmentioning

confidence: 92%

Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome

Asida

Ahmed

2016

Saudi J Anaesth

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Geplante Entfernung der Kehlkopfmaske im Aufwachraum

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Planned PLMA removal in the recovery room after BIS-guided balanced anesthesia did not enable the anesthetist to be available earlier for induction of anesthesia in the following patient. Hence the anesthetist could not contribute to a faster turnover of cases. Obviously, with the type of close communication between surgeon and anesthetist dictated by the study protocol (announcement of expected end of surgery by the surgeon 20 min before end of surgery) it is possible for the patient to regain consciousness within a very small time window following the end of surgery. Following this kind of protocol, postponement of removal of the LMA in the recovery room does not seem to be attractive neither from a clinical nor an economic point of view. In contrast, removal of LMA in the recovery room should be restricted to occasional cases with an abrupt end of the operation or prolonged emergence from anesthesia. The obvious risk of hypoxemia necessitates continuous O(2) application and S(p)O(2) monitoring during transport to the recovery room.

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Abandoning use of 1^stgeneration SAD - a reply

Cook

Kelly

2016

Anaesthesia

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Klinischer Einsatz der ProSeal®-Kehlkopfmaske bei Säuglingen, Kindern und Jugendlichen

Cited by 3 publications

References 15 publications

Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome

Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome

Geplante Entfernung der Kehlkopfmaske im Aufwachraum

Abandoning use of 1^stgeneration SAD - a reply

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Klinischer Einsatz der ProSeal®-Kehlkopfmaske bei Säuglingen, Kindern und Jugendlichen

Cited by 3 publications

References 15 publications

Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome

Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome

Geplante Entfernung der Kehlkopfmaske im Aufwachraum

Abandoning use of 1stgeneration SAD - a reply

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Abandoning use of 1^stgeneration SAD - a reply