Document Detail


Comparison of laryngeal mask airway with tracheal tube for ophthalmic surgery in paediatric patients.
MedLine Citation:
PMID:  15264735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study of sixty ASA grade 1 or 2 children, aged 1 to 12 years, undergoing elective ophthalmic procedures, compared the use of the laryngeal mask airway (LMA) with that of an endotracheal tube. Changes in intraocular pressure and haemodynamic parameters, and intraoperative and postoperative complications were measured Patients were randomly allocated into two groups of 30 patients. In group 1, the airway was secured with an LMA and in group 2 with an endotracheal tube. A standard technique of general anaesthesia incorporating positive pressure ventilation was used in both groups. The changes in intraocular pressure, heart rate (HR) and mean arterial pressure (MAP) were observed before and after insertion of the airway device, two minutes after insertion, and pre and post removal of the device. The incidence of airway complications was also noted. There was no significant change in mean intraocular pressure after insertion of the LMA, but removal caused a significant increase to 19.3 +/- 7.6 mmHg (from a baseline of 13.9 +/- 4.3 mmHg). In the endotracheal tube group, intubation increased the mean intraocular pressure significantly to 19.9 +/- 7.3 mmHg (from a baseline of 13.1 +/- 4.0 mmHg) and extubation caused an increase to 24.6 +/- 10.4 mmHg which was clinically as well as statistically significant. The incidence of postoperative coughing was lower in the LMA group, but the incidence of vomiting higher. Two patients had displacement of the LMA during the procedure. We conclude that the use of an LMA is associated with less increase in intraocular pressure than the use of an endotracheal tube in children.
Authors:
M Gulati; M Mohta; S Ahuja; V P Gupta
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  32     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-07-21     Completed Date:  2004-09-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  383-9     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg, Bahadur Hospital, Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, General
Blood Pressure
Child
Child, Preschool
Heart Rate
Humans
Intraocular Pressure
Intraoperative Complications
Intubation, Intratracheal*
Laryngeal Masks*
Ophthalmologic Surgical Procedures*
Postoperative Complications
Postoperative Nausea and Vomiting

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


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