Laryngeal mask versus intubation on adverse reactions in pediatric retinoblastoma patients

Abstract

Purpose The objective of this study was to compare the effect and safety of laryngeal mask airway (LMA) versus endotracheal intubation(ETT) in children undergoing nucleation surgery. Methods A retrospective review of consecutive patients in the tetriary hospital from 2007 to 2020 who received eye removal surgery were included in our study. Fifty-eight eligible patients were divided into Group A (ETT, n = 35) and Group B (LMA, n = 23) according to the type of anesthesia. Patients’ demographic materials were recorded and analyzed. The heart rate (HR) and mean arterial pressure (MAP) were retrieved at different time point. The perioperative complications were also collected. Results 39.66% (23/58) of patients received LMA. The patients with LMA placement in Group B showed significantly lower heart rate before skin incision than those receiving ETT in Group A (P < 0.05).In Group B, one patient experienced laryngeal spasm after the removal of the laryngeal mask, and one patient experienced second attempt of LMA insertion due to poor alignment of laryngeal mask at the first time. Conclusion LMA intubation provides more stable perioperative conditions for children undergoing eye enucleation surgeries. LMA intubation does not generate more adverse events than ETT.