Mussarat A Shaikh, Rana A Ahmad, Ahmed Turkistani.
Airway management in Pediatric anesthesia: Laryngeal mask airway vs Endotracheal tube.
Anesth Pain Intens Care Jan ;9(2):17-21.

After local hospital ethics committee approval and written informed consent from the parents, 202 pediatric patients undergoing lower abdominal surgery under general anesthesia were enrolled in the study. Patients were divided into two groups: ETT (n = 100) and LMA(102). ASA physical status I or II pediatric patients between the ages of 1 year to 12 years who presented for elective orchidopexy, inguinal hernia and circumcision were included in the study. All children having recent upper respiratory tract infection or bronchial asthma which was uncontrolled were excluded from the study. Trimeprazine (vallergan) 2mg/kg was given orally one hour before surgery. All children were randomly allocated to receive either LMA or ETT. RESULTS: There were no significant differences between the two groups with respect to age, weight, ASA physical status, duration of anesthesia and surgery. The incidence of perioperative complications at induction, tube placement, intraoperative period and at the time of removal of either LMA or ETT. There was no significant difference between groups with respect to the incidence of perioperative cough, laryngospasm, gagging or breath holding (P > 0.05). There was also no significant difference in the severity of any of the complications except for breath holding. Over all there were fifteen episodes of cough, six in LMA group (40%) and nine in ETT group (60%) but no intervention was required. Laryngospasm occurred in five patients, two in LMA (40%) and three in ETT (60%), one patient in ETT group required intubation after laryngospasm and easily managed. Overall breath holding was observed in 22 patients, 7 in LMA (31.82%) and 15 in ETT group (68.18%). These differences were not statistically significant (P value > 0.05). The respiratory events were managed easily and there were no adverse events. Number of overall complications in LMA group were 16/102 (15.69%), whereas in ETT group these were 29/100 (29%), with signifiscant differences, P <0.025.

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