Beyza Tekin1, Zehra Hatipoğlu2, Mediha Türktan2, Dilek Özcengiz2. 1. Clinic of Anaesthesia, Çukurova Aşkım Tüfekçi State Hospital, Adana, Turkey. 2. Department of Anaesthesiology and Reanimation, Çukurova University School of Medicine, Adana, Turkey.
Abstract
OBJECTIVE: We compared the effects of the laryngeal mask airway (LMA), face mask andCobra perilaryngeal airway (PLA) in the airway management of spontaneously breathing paediatric patients undergoing elective inguinal surgery. METHODS: In this study, 90 cases of 1-14-year-old children undergoing elective inguinal surgery were scheduled. The patients were randomly divided into three groups. Anaesthesia was provided with sevoflurane and 50%-50% nitrous oxide and oxygen. After providing an adequate depth of anaesthesia, supraglottic airway devices were inserted in the group I and II patients. The duration and number of insertion, haemodynamic parameters, plateau and peak inspiratory pressure and positive end-expiratory pressure of the patients were recorded preoperatively, after induction and at 5, 10, 15 and 30 min peroperatively. RESULTS: There were no statistical differences between the groups in terms of haemodynamic parameters (p>0.05). In group II, instrumentation success was higher and instrumentation time was shorter than group II. The positive end-expiratory pressure and plateau and peak inspiratory pressure values were statistically lower in group II (p<0.05). CONCLUSION: We concluded that for airway safety and to avoid possible complications, LMA and Cobra PLA could be alternatives to face mask and that the Cobra PLA provided lower airway pressure and had a faster and more easy placement than LMA.
RCT Entities:
OBJECTIVE: We compared the effects of the laryngeal mask airway (LMA), face mask and Cobra perilaryngeal airway (PLA) in the airway management of spontaneously breathing paediatric patients undergoing elective inguinal surgery. METHODS: In this study, 90 cases of 1-14-year-old children undergoing elective inguinal surgery were scheduled. The patients were randomly divided into three groups. Anaesthesia was provided with sevoflurane and 50%-50% nitrous oxide and oxygen. After providing an adequate depth of anaesthesia, supraglottic airway devices were inserted in the group I and II patients. The duration and number of insertion, haemodynamic parameters, plateau and peak inspiratory pressure and positive end-expiratory pressure of the patients were recorded preoperatively, after induction and at 5, 10, 15 and 30 min peroperatively. RESULTS: There were no statistical differences between the groups in terms of haemodynamic parameters (p>0.05). In group II, instrumentation success was higher and instrumentation time was shorter than group II. The positive end-expiratory pressure and plateau and peak inspiratory pressure values were statistically lower in group II (p<0.05). CONCLUSION: We concluded that for airway safety and to avoid possible complications, LMA and Cobra PLA could be alternatives to face mask and that the Cobra PLA provided lower airway pressure and had a faster and more easy placement than LMA.
Authors: Vadim Khazin; Tiberiu Ezri; Ron Yishai; Daniel I Sessler; Francis Serour; Peter Szmuk; Shmuel Evron Journal: J Clin Anesth Date: 2008-11-18 Impact factor: 9.452
Authors: Luis Gaitini; Nurit Carmi; Boris Yanovski; Riad Tome; Igor Resnikov; Igor Gankin; Mostafa Somri; David Alfery Journal: Paediatr Anaesth Date: 2008-04 Impact factor: 2.556
Authors: Mohammed A Shafi Ahmed; Abdulmohsin A Al-Ghamdi; Hany A Mowafi; Roshdy R Al-Metwalli; Wesam F Mousa; Amer A Lardhi Journal: Saudi J Anaesth Date: 2014-10