Document Detail


Airway complications in infants: comparison of laryngeal mask airway and the facemask-oral airway.
MedLine Citation:
PMID:  10764174     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare the incidence of airway complications in children less than one year of age whose airways were maintained during anesthesia with either a laryngeal mask airway (LMA) or a facemask and oral airway (FM-OA). METHODS: We randomized 49 - ASA class 1&2 - infants to an LMA or FM-OA group. All infants were undergoing minor general, urological or orthopedic procedures. Anesthesia was induced and maintained with halothane in nitrous oxide 50% and oxygen. The airway was removed in both groups when the infant was awake. The occurrence of airway complications (breath-holding, coughing, laryngospasm, secretions, obstruction and oxygen saturation < 95%) at induction of anesthesia, intraoperatively and during emergence from anesthesia was recorded. RESULTS: Airway complications occurred perioperaively in 15 of 27 infants in the LMA group and in 5 of 22 infants in the FM-OA group (P: 0.02). CONCLUSION: In infants, the use of the LMA is associated with an increased incidence of airway complications compared with the use of the FM-OA.
Authors:
M Harnett; B Kinirons; A Heffernan; C Motherway; W Casey
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  47     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-06-09     Completed Date:  2000-06-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  315-8     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland. mharnett@bics.bwh.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / epidemiology,  etiology
Anesthesia, Inhalation
Anesthesiology / instrumentation*
Cough / epidemiology,  etiology
Female
Humans
Infant
Infant, Newborn
Intraoperative Complications / epidemiology,  etiology*
Laryngeal Masks / adverse effects*
Laryngismus / epidemiology,  etiology
Male
Masks / adverse effects*
Oxygen / blood
Respiratory Mechanics / drug effects
Respiratory Tract Diseases / epidemiology,  etiology*
Chemical
Reg. No./Substance:
7782-44-7/Oxygen
Comments/Corrections
Comment In:
Can J Anaesth. 2000 Dec;47(12):1262   [PMID:  11132753 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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