| Comparison of laryngeal mask airway with tracheal tube for ophthalmic surgery in paediatric patients. | |
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MedLine Citation:
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PMID: 15264735 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Gulati; M Mohta; S Ahuja; V P Gupta |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 32 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-07-21 Completed Date: 2004-09-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 383-9 Citation Subset: IM |
Affiliation:
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Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg, Bahadur Hospital, Delhi, India. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
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